Individual provider Active NPI

Daniel A Ayana, NP

  • Adult Health Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1679926927
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R 174642-8 Issued in MN
Practice address
3160 Folsom Blvd Ste 3900
Sacramento, CA 95816-5271
Phone
(916) 734-6448
NPI assigned
Jul 21, 2016
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R 174642-8 MN Primary

Addresses

Primary practice location

3160 Folsom Blvd Ste 3900
Sacramento, CA 95816-5271

Mailing address

4860 Y St Ste 3740
Sacramento, CA 95817-2309
Phone (916) 734-6448

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160912001301 MN Practitioner - Nurse Practitioner 8729374129 Reassigns benefits to 1 organization
I20220404002405 CA Practitioner - Nurse Practitioner 8729374129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2737

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R 174642-8MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 7, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Mar 7, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Feb 12, 2017 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

3160 Folsom Blvd
Ste 3900
Sacramento, CA 95816
Phone (916) 734-3658

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3740
Sacramento, CA 95817
Phone (916) 734-3071

4868 X St
Ste 3C
Sacramento, CA 95817
Phone (916) 734-4300

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1679926927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4860 Y ST STE 3740",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172309",
            "telephone_number": "916-734-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 FOLSOM BLVD STE 3900",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165271",
            "telephone_number": "916-734-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANA",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "R 174642-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.