Daniel J Headrick, M.D.

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

00G451440 Issued in CA

Practice address

32301 Camino Capistrano Ste J
San Juan Capistrano, CA 92675-4512

Phone

(800) 900-0444

Fax

(949) 606-0491

NPI assigned

Dec 30, 2006

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Compass Recovery Inc.

  • Substance Abuse Rehabilitation Facility
  • Cypress, CA
  • NPI 1881080265
  NPD (past)
• Pain Recovery Medical Group, Inc

  dba Headrick Integrative Healing

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dana Point, CA
  • NPI 1841683984
  NPD (past)

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1770649816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6747",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926156747",
            "telephone_number": "714-377-3749",
            "fax_number": "714-377-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32301 CAMINO CAPISTRANO STE J",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754512",
            "telephone_number": "800-900-0444",
            "fax_number": "949-606-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "G45144",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "00G451440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olina Ellen Harwer, M.D.
• Hasbrook Individual & Family Therapy, PC
• Carter John-Thomas Hasbrook, LMFT
• Yoichi Hasegawa, L.AC.
• Jennifer Hatfield, PPS
• Hear Now (Abramson Audiology)
• Hear Now (Abramson Audiology)
• Donna Trauscht Heinrich, O.D.
• Joseph G. Heinrich, O.D.
• Help Rehab Inc

• Addiction Medicine (Family Medicine) Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Addiction Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.