Active NPI
Daniel Matthew Fentress, MD
- Family Medicine Physician
- Martinez, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A109455
- Practice address
- 2500 Alhambra Ave
Martinez, CA 94553-3156 - Phone
- (925) 370-5110
- Fax
- (925) 370-5142
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A109455 | CA | Primary |
Addresses
Primary practice location
2500 Alhambra Ave
Martinez, CA 94553-3156
Mailing address
595 Center Ave
Suite 300
Martinez, CA 94553-4633
Phone (925) 313-6098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, Davis School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444
415 Georgia St
Vallejo, CA 94590-6004
Phone (707) 556-8100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.5 of 100
- Quality
- 84.58
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109455 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Redwood Medical Group Inc | Family Medicine | Current | Accepting new patients |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| County of Sacramento | Current | Accepting new patients | |
| Quantum Healthcare Medical Associates Inc. | Family Medicine | Current | Accepting new patients |
| Chavez Emergency Physicians Medical Group, Inc. | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| La Clinica de la Raza Inc | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
1065 Bucks Lake Rd
Quincy, CA 95971
Phone (530) 283-2121
4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670
4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670
869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900
300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107
415 Georgia St
Vallejo, CA 94590
Phone (707) 556-8100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dfentress24205@hisp.ehr.sutterhealth.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Family Medicine
-
dba La Clinica Monument
- Federally Qualified Health Center (FQHC)
- Concord, CA
- NPI 1538181482
-
- Emergency Medicine Physician
- Quincy, CA
- NPI 1689045015
-
dba Sacramento County Health Center
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1366513061
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Emergency Medicine Physician
- Ukiah, CA
- NPI 1033103676
Family Medicine
-
dba West County Adult Mental Health Services
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
- Radiology Clinic/Center
- Sacramento, CA
- NPI 1508936030
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
dba La Clinica de La Raza
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1144336181
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sutter Solano Medical Center
- General Acute Care Hospital
- Vallejo, CA
- NPI 1366686248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1649583071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 CENTER AVE",
"address_2": "SUITE 300",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534633",
"telephone_number": "925-313-6098",
"fax_number": "925-313-6599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ALHAMBRA AVE",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533156",
"telephone_number": "925-370-5110",
"fax_number": "925-370-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FENTRESS",
"first_name": "DANIEL",
"middle_name": "MATTHEW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A109455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.