Daniel P. Shepard

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

DANIEL P. SHEPARD

Practice address

1418 E, Main Street
Suite 130
Santa Maria, CA 93454

Phone

(608) 614-7591

Fax

(805) 614-7592

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Paul Shepard, MD

Title

Owner/Director

Phone

(805) 614-7591

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1700559481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E. MAIN STREET",
            "address_2": "SUITE 130",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "608-614-7591",
            "fax_number": "805-614-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E, MAIN STREET",
            "address_2": "SUITE 130",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93454",
            "telephone_number": "608-614-7591",
            "fax_number": "805-614-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL P. SHEPARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "805-614-7591",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Dana, BA ENGLISH MULT SUBJ
• Ramanand C. Dandillaya, M.D.
• Ann Thuy Dang
• Fadia Danial
• Daniel & Max, LLC
• Phillip Wayne Daniel Jr.
• Bruce Lynn Daniels, M.D.
• Tram Dao
• Fredrick Dapaah-Siakwan, MD
• Seta Nanor Darakdjian

• All providers in Santa Maria, CA
• Retina Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.