Individual provider Active NPI

Daniel Howard Alcala, MD

  • Internal Medicine Physician
  • Palo Cedro, CA
National Provider Identifier
1780780718
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G38323 Issued in CA
Practice address
10775 French Creek Rd
Palo Cedro, CA 96073-9527
Phone
(530) 243-1134
Fax
(530) 549-3802
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G38323 CA Primary

Addresses

Primary practice location

10775 French Creek Rd
Palo Cedro, CA 96073-9527

Mailing address

10775 French Creek Rd
Palo Cedro, CA 96073-9527
Phone (530) 243-1134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000064 CA Practitioner - Internal Medicine 7618006230 Practice locations: Palo Cedro, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1780780718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10775 FRENCH CREEK RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739527",
            "telephone_number": "530-243-1134",
            "fax_number": "530-549-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10775 FRENCH CREEK RD",
            "city": "PALO CEDRO",
            "state": "CA",
            "postal_code": "960739527",
            "telephone_number": "530-243-1134",
            "fax_number": "530-549-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCALA",
        "first_name": "DANIEL",
        "middle_name": "HOWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G38323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Cedro, CA

Sources for this page

Verify at the official NPI Registry.