Daniel Jon Kostalnick, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A77386 Issued in CA

Practice address

2324 Santa Rita Rd
Suite 16
Pleasanton, CA 94566-4152

Phone

(925) 784-4000

Fax

(925) 426-0085

NPI assigned

Aug 5, 2006

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1821007295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945510849",
            "telephone_number": "925-784-4000",
            "fax_number": "925-426-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 SANTA RITA RD",
            "address_2": "SUITE 16",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664152",
            "telephone_number": "925-784-4000",
            "fax_number": "925-426-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTALNICK",
        "first_name": "DANIEL",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A77386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arnold Koo, DC
• Reid Jonathan Kopel, PH.D.
• Anna Venecia Koper
• Daisy C Kops
• Megan Elaine Korhummel, HIGH SCHOOL DEPLOMA
• Geoffrey R. Kotin, MD
• Linda Joan Krantz, PT
• Sabina Kratzer-Carter, M.A. MFT
• Lauren Mersadi Krause
• Sandra Ann Kreizenbeck, NP

• Psychiatry Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.