Individual provider Active NPI

Graham Todd Danyleyko, PA-C

  • Physician Assistant
  • Oak Harbor, WA
National Provider Identifier
1922087659
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004686 Issued in WA
Practice address
3475 N Saratoga St
Oak Harbor, WA 98278-4927
Phone
(360) 257-9415
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004686 WA Primary

Addresses

Primary practice location

3475 N Saratoga St
Oak Harbor, WA 98278-4927

Mailing address

370 SW Stroops Dr
Oak Harbor, WA 98277-5817
Phone (360) 279-8375

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdanyleyko1195578@oc.providencedirect.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002000 CA Practitioner - Physician Assistant 0941245526 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300

16205 Sand Canyon Ave
Suite 100
Irvine, CA 92618-3781
Phone (949) 557-0000

24060 Camino del Avion
Suite a
Dana Point, CA 92629-4006
Phone (949) 557-0870

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

26672 Portola Pkwy
Suite 100
Foothill Ranch, CA 92610-1773
Phone (949) 557-0710

31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3749
Phone (949) 557-0880

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

49000 Barranca Pkwy
Suite 103
Irvine, CA 92604-8603
Phone (949) 791-3106

6340 Irvine Blvd
Suite 200
Irvine, CA 92620-2102
Phone (949) 559-6500

8607 Irvine Ctr Dr
Irvine, CA 92618-4219
Phone (949) 557-0600

993 Avenida Pico
San Clemente, CA 92673-3908
Phone (949) 557-0400

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

Merit-based Incentive Payment System (MIPS)

Final score
85.87 of 100Reported as group
Quality
84.39
Promoting interoperability
100
Improvement activities
40
Cost
68.52

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
84.12
Promoting interoperability
100
Improvement activities
40
Cost
74.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10004686WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince May 14, 2016 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince May 14, 2016 Accepting new patients
Sedro Woolley Emergency Physicians Past Accepting new patients
Washington Em-I Medical Services PC Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients

Locations

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

1171 Railroad St
Ste 101
Corona, CA 92882
Phone (951) 272-1400

7052 Orangewood Ave
Ste 6
Garden Grove, CA 92841
Phone (714) 903-1000

5345 Irwindale Ave
Irwindale, CA 91706
Phone (626) 960-5361

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

Organizations & group practices 9

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 1

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1922087659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SW STROOPS DR",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775817",
            "telephone_number": "360-279-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N SARATOGA ST",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982784927",
            "telephone_number": "360-257-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANYLEYKO",
        "first_name": "GRAHAM",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-12-22",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "10004686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdanyleyko1195578@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "25612 Crown Valley Pkwy Ste L-5",
            "city": "Ladera Ranch",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926940476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.