NPIMap

Individual provider Active NPI

Clayton Richard McDaniel, MD

  • Family Medicine Physician
  • Watsonville, CA
National Provider Identifier
1851326458
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87092 Issued in CA
Practice address
575 Auto Center Dr
Watsonville, CA 95076-3727
Phone
(831) 288-6537
Fax
(831) 722-2855
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 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 A87092 CA Primary

Addresses

Primary practice location

575 Auto Center Dr
Watsonville, CA 95076-3727

Mailing address

3400 Data Dr
Attn: Credentialing/Payer Enrollment
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050217000365 CA Practitioner - Family Practice 7719939735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1595 Soquel Dr
Santa Cruz, CA 95065-1724

4700 Soquel Dr
Soquel, CA 95073-2427
Phone (831) 888-9410

575 Auto Ctr Dr
Watsonville, CA 95076-3727
Phone (831) 288-6537

Hospital & facility affiliations

  • Care Must Home health agency, San Jose, CA, CCN 059796
  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Bridge Home Health Home health agency, Salinas, CA, CCN 559775
  • Sutter Care at Home Home health agency, Santa Cruz, CA, CCN 057007
  • Prohealth Home Care, Inc Home health agency, San Jose, CA, CCN 058415
  • Hospice of Santa Cruz County Hospice, Scotts Valley, CA, CCN 051526
  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242
  • Watsonville Post Acute Center Nursing home, Watsonville, CA, CCN 055959
  • Watsonville Nursing Center Nursing home, Watsonville, CA, CCN 055240

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87092CAMDPharmacist
A87092CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Jun 12, 2018 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 12, 2018 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

1066 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 722-1444

575 Auto Center Dr
Watsonville, CA 95076
Phone (831) 288-6537

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Watsonville Nursing CenterWatsonville, CA, CCN 055240 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 24, 2014
Mar 24, 2014
Watsonville Post Acute CenterWatsonville, CA, CCN 055959 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 24, 2014
Mar 24, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1851326458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTN: CREDENTIALING/PAYER ENROLLMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 AUTO CENTER DR",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763727",
            "telephone_number": "831-288-6537",
            "fax_number": "831-722-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "CLAYTON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.