Daniel Sean Mazzanti

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95021975 Issued in CA

Practice address

742 W Highland Ave
San Bernardino, CA 92405-3839

Phone

(909) 881-7320

Fax

(909) 881-7330

NPI assigned

Sep 16, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.mazzanti.p1@direct.metro.nextgenshare.com

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.

• San Marcos Medical Group Inc.

  dba metropolitan family medical clinic

  • Family Nurse Practitioner
  • San Bernardino, CA
  • NPI 1184674830
  NPD (past)
• San Marcos Medical Group Inc.

  dba metropolitan family medical clinic

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1548210297
  NPD (past)

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1912629783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053839",
            "telephone_number": "909-881-7320",
            "fax_number": "909-881-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053839",
            "telephone_number": "909-881-7320",
            "fax_number": "909-881-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7576 Sterling Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924104273",
            "country_code": "US",
            "telephone_number": "909-381-8983",
            "fax_number": "909-381-2933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZANTI",
        "first_name": "DANIEL",
        "middle_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mayorga
• Kelsey Mays
• Maria R Mays, MFTI
• Vladimr Adan Maza Gonzalez, N/A
• Alexandra Mazo, MD
• Kaitlyn Laurean Mazzei
• Mary Ann McAllister
• Brooke Alexandria McBay
• Beverly McCarthy, LCSW
• Jean M McCarthy, LCSW

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.