Individual provider Active NPI

Daria Beatriz Maldonado-Knapp, M.D.

  • Dermatology Physician
  • Monterey, CA
National Provider Identifier
1659482149
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G75444 Issued in CA
Practice address
9781 Blue Larkspur LN
Suite 100
Monterey, CA 93940-6509
Phone
(831) 333-9008
Fax
(831) 333-9010
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G75444 CA Primary

Addresses

Primary practice location

9781 Blue Larkspur LN
Suite 100
Monterey, CA 93940-6509

Mailing address

1750 El Camino Real 206
Burlingame, CA 94010-3214
Phone (650) 692-0182

Other identifiers 1

IdentifierTypeStateIssuer
G75444OtherCACA MEDICAL LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050726000570 CA Practitioner - Dermatology 5092742502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G75444CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients
Daria Maldonado, M.D., Inc Dermatology PastSince Aug 1, 2003 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1659482149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL 206",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103214",
            "telephone_number": "650-692-0182",
            "fax_number": "650-692-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9781 BLUE LARKSPUR LN",
            "address_2": "SUITE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939406509",
            "telephone_number": "831-333-9008",
            "fax_number": "831-333-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO-KNAPP",
        "first_name": "DARIA",
        "middle_name": "BEATRIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G75444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "G75444",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.