Mark Denis Daigle, M.D. – Psychiatry Physician

Key facts

NPI: 1760636369
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatry Physician 2084P0800X
License: A043931 (CA)
Practice address: California Mens Colony
N. Hwy 1
San Luis Obispo, CA 93409-0001
Phone: (805) 547-7900
NPI assigned: Nov 9, 2008
Sex: Male
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Commonwealth Healthcare Corporation Rural Health Clinic/Center · Tinian, MP · NPI 1003382854

NPD
Commonwealth Healthcare Corporation End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Saipan, MP · NPI 1285858290

NPD
Commonwealth Healthcare Corporation General Acute Care Hospital · Saipan, MP · NPI 1871616292

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
A043931	CA	MD	Psychiatry Physician

Practice roles

Organization	Status	New patients
Commonwealth Healthcare Corporation	Current	Accepting new patients
Commonwealth Healthcare Corporation	Current since Dec 28, 2022	Accepting new patients
Commonwealth Healthcare Corporation	Current since Dec 28, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatry Physician	2084P0800X	A043931	CA	Yes

Addresses

Primary practice location

California Mens Colony
N. Hwy 1
San Luis Obispo, CA 93409-0001

Mailing address

California Mens Colony
P O Box 8101 N. Hwy 1
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900

Other providers in San Luis Obispo, CA

All providers in San Luis Obispo, CA · Psychiatry Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.