Individual provider Active NPI

Daniel Seth Dinenberg, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1811169063
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88316 Issued in CA
Practice address
110 Sutter St
6TH Floor
San Francisco, CA 94104-4002
Phone
(415) 291-0840
Fax
(415) 291-0489
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A88316 CA Primary

Addresses

Primary practice location

110 Sutter St
6TH Floor
San Francisco, CA 94104-4002

Mailing address

110 Sutter St
6TH Floor
San Francisco, CA 94104-4002
Phone (415) 291-0840

Other identifiers 1

IdentifierTypeStateIssuer
A88316OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20180621001970 HI Practitioner - Family Practice 0648334631

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88316CAMDPharmacist
A88316CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Community Health Alliance CurrentSince Aug 1, 2018 Accepting new patients
Kauai Community Health Alliance CurrentSince Aug 1, 2018 Accepting new patients

Locations

2460 Oka St
Ste 101A
Kilauea, HI 96754
Phone (808) 635-2494

Interoperability endpoints

  • Direct secure messaging: daniel.dinenberg@191952355786756.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/18530/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811169063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUTTER ST",
            "address_2": "6TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044002",
            "telephone_number": "415-291-0840",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUTTER ST",
            "address_2": "6TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044002",
            "telephone_number": "415-291-0840",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINENBERG",
        "first_name": "DANIEL",
        "middle_name": "SETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A88316",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.