Daniel Michael Pezel

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15196 Issued in CA

Practice address

1140 Jamie Dr
Concord, CA 94518-1724

Phone

(415) 250-4925

NPI assigned

Apr 12, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1902486012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 JAMIE DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181724",
            "telephone_number": "415-250-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 JAMIE DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181724",
            "telephone_number": "415-250-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZEL",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "15196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnectprodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1140 Jamie Dr",
            "city": "Concord",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945181724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Ashley Petrlich
• Rashida Petrovich
• Jill Pettegrew, LMFT
• Elisabeth Mary Petterson, RN
• Shyeaka Pettigrew
• Corey Pfeiffer
• Cindy Pham, RN, PHN
• Cynthia Pham
• Karen Thu Anh Pham, O.D.
• Mi Pham

• Occupational Therapist in Concord, CA
• Providers in Concord, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.