Phillip Wayne Daniel Jr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-BUEZNY Issued in CA

Practice address

301 E Cook St Ste B
Santa Maria, CA 93454-5133

Phone

(805) 910-8996

NPI assigned

Nov 21, 2025

Last updated

Nov 21, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1699636209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E COOK ST STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545133",
            "telephone_number": "805-910-8996",
            "fax_number": "805-910-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E COOK ST STE B",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545133",
            "telephone_number": "805-910-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "PHILLIP",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-BUEZNY",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramanand C. Dandillaya, M.D.
• Ann Thuy Dang
• Fadia Danial
• Daniel & Max, LLC (Stanton Optical)
• Daniel P. Shepard
• Bruce Lynn Daniels, M.D.
• Tram Dao
• Fredrick Dapaah-Siakwan, MD
• Seta Nanor Darakdjian
• Michelle Ann Darden

• Peer Specialist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.