Individual provider Active NPI

Daniel Joseph Proctor, MD

  • Family Medicine Physician
  • Merced, CA
National Provider Identifier
1861999427
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A167198 Issued in CA
Practice address
333 Mercy Ave
Merced, CA 95340-8319
Phone
(209) 564-5000
NPI assigned
Apr 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A167198 CA
Family Medicine Physician 207Q00000X A167198 CA Primary

Addresses

Primary practice location

333 Mercy Ave
Merced, CA 95340-8319

Mailing address

373 E Shaw Ave # 389
Fresno, CA 93710-7609

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
I20210811002456 CA Practitioner - HospitalistPractitioner - Family Practice 4587068648 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Hospitalist Medical Group, IncGroup PAC ID 5395882351, 36 clinicians

Practice addresses (Care Compare)

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 909-0264

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
72.52
Improvement activities
40
Cost
59.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167198CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Sep 1, 2021 Accepting new patients
Merced Hospitalist Medical Group, Inc. CurrentSince Jul 17, 2021 Accepting new patients
Valley Hospitalist Medical Group, Inc Hospitalist CurrentSince Sep 3, 2021 Accepting new patients
Galen Inpatient Physicians Inc CurrentSince Sep 1, 2021 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

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 2

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1861999427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E SHAW AVE # 389",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 MERCY AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408319",
            "telephone_number": "209-564-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCTOR",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A167198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A167198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.