Active NPI
Daniel Peak, RN, NP
- Family Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1902262645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003827
- Practice address
- 1750 Wright St
Sacramento, CA 95825-4041 - Phone
- (855) 354-2242
- NPI assigned
- Jan 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 843493 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95003827 | CA | Primary |
Addresses
Primary practice location
1750 Wright St
Sacramento, CA 95825-4041
Mailing address
1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484
Other practice location 1
1050 Fulton Ave
Suite 230
Sacramento, CA 95825-4272
Phone (916) 502-8689
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)
- Not enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843493 | CA | MD | Registered Nurse |
| 95003827 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1902262645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 HOWE AVE STE 440",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251098",
"telephone_number": "916-569-8484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 WRIGHT ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254041",
"telephone_number": "855-354-2242"
}
],
"practiceLocations": [
{
"address_1": "1050 Fulton Ave",
"address_2": "Suite 230",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254272",
"country_code": "US",
"telephone_number": "916-502-8689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEAK",
"first_name": "DANIEL",
"credential": "RN, NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-11",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "843493",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003827",
"primary": true
}
],
"identifiers": [],
"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 Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.