Individual provider Active NPI

Daniel David Bank, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Costa Mesa, CA
National Provider Identifier
1669550372
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E-3442 Issued in CA
Practice address
1700 Adams Ave
Suite 204
Costa Mesa, CA 92626-4865
Phone
(714) 434-1776
Fax
(714) 434-1293
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E-3442 CA Primary

Addresses

Primary practice location

1700 Adams Ave
Suite 204
Costa Mesa, CA 92626-4865

Mailing address

1700 Adams Ave
Suite 204
Costa Mesa, CA 92626-4865
Phone (714) 434-1776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041104000543 CA Practitioner - Podiatry 5991768632 Reassigns benefits to 1 organization
Practice locations: Costa Mesa, CA
O20100930048158 CA DME Supplier - Physician - Podiatry 8123130382 Practice locations: Costa Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stockdale Podiatry Group IncGroup PAC ID 0143282715, 14 clinicians

Practice addresses (Care Compare)

110 New Stine Rd
Bakersfield, CA 93309-2605
Phone (661) 832-1667

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue289
Removal or shaving of skin growth149
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E-3442CAMDFoot & Ankle Surgery Podiatrist
3442CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stockdale Podiatry Group Inc Foot & Ankle Surgery CurrentSince Oct 1, 2025 Accepting new patients

Locations

110 New Stine Rd
Bakersfield, CA 93309
Phone (661) 832-1666

1700 Adams Ave
Ste 204
Costa Mesa, CA 92626
Phone (714) 434-1776

448 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1669550372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "SUITE 204",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-434-1776",
            "fax_number": "714-434-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ADAMS AVE",
            "address_2": "SUITE 204",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264865",
            "telephone_number": "714-434-1776",
            "fax_number": "714-434-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANK",
        "first_name": "DANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E-3442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.