Active NPI
Daniel Panko, B.A.
- Behavior Technician
- Fremont, CA
National Provider Identifier
1811710049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 46-1305562
- Practice address
- 39210 State St Ste 220
Fremont, CA 94538-1456 - Phone
- (510) 894-4135
- NPI assigned
- Nov 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 46-1305562 | CA | Primary |
Addresses
Primary practice location
39210 State St Ste 220
Fremont, CA 94538-1456
Mailing address
24438 Santa Clara St Unit 6281
Hayward, CA 94544-1106
Phone (510) 461-8250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46-1305562 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1811710049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24438 SANTA CLARA ST UNIT 6281",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441106",
"telephone_number": "510-461-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39210 STATE ST STE 220",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381456",
"telephone_number": "510-894-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANKO",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "46-1305562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.