Daniel Kelley McBride, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA22902 Issued in CA

Practice address

39700 Bob Hope Dr
Ste 202
Rancho Mirage, CA 92270-3267

Phone

(760) 341-2360

Fax

(760) 346-5940

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Daniel Earl Kelley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1669555637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "STE 202",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-341-2360",
            "fax_number": "760-346-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39700 BOB HOPE DR",
            "address_2": "STE 202",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922703267",
            "telephone_number": "760-341-2360",
            "fax_number": "760-346-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "DANIEL",
        "middle_name": "KELLEY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIEL",
            "last_name": "KELLEY",
            "middle_name": "EARL",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louis May, MD
• Janice E. Mayer, PA-C
• Sanoara Mazid, MD
• Nicole Mazmanian, FNP
• Robin D McAllister, MD
• Daniel Scott McBride Jr., MD
• Julie McCammon
• Felicia McCaughey, PHARM.D.
• Brian F McClanahan, DDS
• Deborah Ann McClary

• Physician Assistant in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.