Individual provider Active NPI

Danielle Marie Thomas, NP

  • Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1801315171
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95007413 Issued in CA
Practice address
40285 Winchester Rd Ste 103
Temecula, CA 92591-5547
Phone
(951) 296-5844
Fax
(951) 296-5840
NPI assigned
Sep 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007413 CA Primary

Addresses

Primary practice location

40285 Winchester Rd Ste 103
Temecula, CA 92591-5547

Mailing address

35808 Chalet CT
Murrieta, CA 92563-1840
Phone (858) 525-5019

Other names 1

  • Danielle Marie Davies Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102003269 CA Practitioner - Nurse Practitioner 7012273394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Zebrack DO IncGroup PAC ID 1355503210, 3 clinicians

Practice addresses (Care Compare)

40285 Winchester Rd
Suite 103
Temecula, CA 92591-5547
Phone (951) 296-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007413CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David Zebrack DO Inc CurrentSince Nov 1, 2017 Accepting new patients

Locations

40285 Winchester Rd
Ste 103
Temecula, CA 92591
Phone (951) 296-5844

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1801315171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35808 CHALET CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631840",
            "telephone_number": "858-525-5019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40285 WINCHESTER RD STE 103",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915547",
            "telephone_number": "951-296-5844",
            "fax_number": "951-296-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95007413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DAVIES",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.