Active NPI
Daniel L Eustace, P.A.-C.
- Physician Assistant
- Los Banos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 54524
- Practice address
- 311 W I St
Los Banos, CA 93635 - Phone
- (209) 826-2222
- NPI assigned
- Jul 1, 2006
- Last updated
- Jan 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C02993 | MD | |
| Physician Assistant | 363A00000X | 54524 | CA | Primary |
Addresses
Primary practice location
311 W I St
Los Banos, CA 93635
Mailing address
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-2222
Other practice location 1
600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-6406
Other practice location 2
1734 Valeria St
Dos Palos, CA 93620
Phone (267) 524-7390
Other practice location 3
311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-6444
Other practice location 4
400 W I St Ste A
Los Banos, CA 93635-3459
Phone (209) 827-9999
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54524 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarena Health | Current | Accepting new patients | |
| Camarena Health | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Johns Hopkins University | Past | Accepting new patients |
Locations
1159 Country Club Dr
Madera, CA 93638
760 E Almond Ave
Madera, CA 93637
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
Interoperability endpoints
- daniel.eustace.1@25900.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Madera, CA
- NPI 1891778114
-
dba Camarena Health - Los Banos
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Jhu - Neurosurgery
- Neurological Surgery Physician
- Bethesda, MD
- NPI 1578569240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1801825195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353479",
"telephone_number": "209-826-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "93635",
"telephone_number": "209-826-2222"
}
],
"practiceLocations": [
{
"address_1": "600 N Wolfe St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870005",
"country_code": "US",
"telephone_number": "410-955-6406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1734 Valeria St",
"address_purpose": "LOCATION",
"city": "Dos Palos",
"state": "CA",
"postal_code": "93620",
"country_code": "US",
"telephone_number": "267-524-7390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "311 W I St",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353479",
"country_code": "US",
"telephone_number": "209-826-6444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 W I St Ste A",
"address_purpose": "LOCATION",
"city": "Los Banos",
"state": "CA",
"postal_code": "936353459",
"country_code": "US",
"telephone_number": "209-827-9999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EUSTACE",
"first_name": "DANIEL",
"middle_name": "L",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C02993",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "54524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.