Individual provider Active NPI

Daniel A Egerter, MD

  • Anatomic Pathology Physician
  • Sacramento, CA
National Provider Identifier
1891777124
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
G56649 Issued in CA
Practice address
7750 College Town Dr
102
Sacramento, CA 95826-2356
Phone
(916) 444-0889
Fax
(916) 444-6016
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X G56649 CA
Anatomic Pathology Physician 207ZP0101X G56649 CA Primary

Addresses

Primary practice location

7750 College Town Dr
102
Sacramento, CA 95826-2356

Mailing address

7750 College Town Dr
102
Sacramento, CA 95826-2356
Phone (916) 444-0889

Other identifiers 1

IdentifierTypeStateIssuer
GR0029350MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56649CAMDAnatomic Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1891777124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 COLLEGE TOWN DR",
            "address_2": "102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262356",
            "telephone_number": "916-444-0889",
            "fax_number": "916-444-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 COLLEGE TOWN DR",
            "address_2": "102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958262356",
            "telephone_number": "916-444-0889",
            "fax_number": "916-444-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERTER",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "G56649",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G56649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0029350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.