NPIMap

Individual provider Active NPI

Daniel E Hardy, M.D.

  • Family Medicine Physician
  • Los Banos, CA
National Provider Identifier
1689679045
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77650 Issued in CA
Practice address
801 W L St
Los Banos, CA 93635-3953
Phone
(209) 827-3303
Fax
(209) 827-3743
NPI assigned
Jun 14, 2005
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G77650 CA Primary

Addresses

Primary practice location

801 W L St
Los Banos, CA 93635-3953

Mailing address

801 W L St
Los Banos, CA 93635-3953
Phone (209) 826-5787

Other practice location 1

1549 Golden Gate Ave
Dos Palos, CA 93620-2329
Phone (209) 392-0022

Other practice location 2

400 W I St
Los Banos, CA 93635-3459
Phone (209) 827-9999

Other practice location 3

311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000592 CA Practitioner - Family Practice 2264624824 Practice locations: Los Banos, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karthikeya Devireddy MD IncGroup PAC ID 3072566728, 10 clinicians

Practice addresses (Care Compare)

311 W I St
Los Banos, CA 93635-3479

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G77650CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorail Hospital of Los Banos Past Accepting new patients
Apex Annex Health Center,Inc Past Accepting new patients
KD Medical Group Inc Family Medicine Past Accepting new patients
Karthikeya Devireddy MD Inc Past Accepting new patients
Dos Palos Apex Health Center Inc Past Accepting new patients
Emergency Foot Care LLC Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: daniel.hardy.1@3550.direct.athenahealth.com

Organizations & group practices 6

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 6

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1689679045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W L ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353953",
            "telephone_number": "209-826-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W L ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353953",
            "telephone_number": "209-827-3303",
            "fax_number": "209-827-3743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1549 Golden Gate Ave",
            "address_purpose": "LOCATION",
            "city": "Dos Palos",
            "state": "CA",
            "postal_code": "936202329",
            "country_code": "US",
            "telephone_number": "209-392-0022",
            "fax_number": "209-392-0011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353459",
            "country_code": "US",
            "telephone_number": "209-827-9999",
            "fax_number": "209-827-9998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-2222",
            "fax_number": "209-826-2599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "DANIEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.