Individual provider Active NPI

Daniel P. Mirda, M.D.

  • Hematology & Oncology Physician
  • Napa, CA
National Provider Identifier
1811963317
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G57247 Issued in CA
Practice address
1100 Trancas St Ste 256
Napa, CA 94558-2908
Phone
(707) 253-7161
Fax
(707) 253-0476
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X G57247 CA
Medical Oncology Physician 207RX0202X G57247 CA
Hematology & Oncology Physician 207RH0003X G57247 CA Primary

Addresses

Primary practice location

1100 Trancas St Ste 256
Napa, CA 94558-2908

Mailing address

1100 Trancas St Ste 256
Napa, CA 94558-2908
Phone (707) 253-7161

Other identifiers 1

IdentifierTypeStateIssuer
00G572470MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmirda1658071@oc.providencedirect.org

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
I20080603000435 CA Practitioner - Medical Oncology 5991875908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Stanford University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1100 Trancas St
Suite 256
Napa, CA 94558-2921
Phone (707) 253-7161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G57247CAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2014 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Providence Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1100 Trancas St
Ste 256
Napa, CA 94558
Phone (707) 253-7161

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1000 Trancas St
Ste 1
Napa, CA 94558
Phone (707) 253-7161

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: daniel.mirda@stjoe.direct.varian.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1811963317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 256",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582908",
            "telephone_number": "707-253-7161",
            "fax_number": "707-253-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TRANCAS ST STE 256",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582908",
            "telephone_number": "707-253-7161",
            "fax_number": "707-253-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRDA",
        "first_name": "DANIEL",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "G57247",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "G57247",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G57247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G572470",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmirda1658071@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1000 Trancas St",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945582906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.