Robert D Daigle, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C42355 Issued in CA

Practice address

1425 Fruitdale Ave
San Jose, CA 95128-3234

Phone

(408) 275-1010

Fax

(408) 275-1066

NPI assigned

Jan 4, 2007

Last updated

Jan 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1942357645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41458",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951601458",
            "telephone_number": "408-997-9648",
            "fax_number": "408-997-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 FRUITDALE AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283234",
            "telephone_number": "408-275-1010",
            "fax_number": "408-275-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C423551",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # FOR PRIVATE INS",
            "identifier": "C42355",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aaron Dahle-Tillak
• Anders Karl Dahlstrom, MD PHD
• Jenny Dai Biller, M.D.
• Chengqing Dai
• Janine Dai
• Grace Daijo, OD
• Felicia Nicole Daily, RADT 1
• Daisy G. Ison, D.M.D., Inc.
• Dajaju Pharmaceuticals (Tan Pharmacy)
• Karla Angelica Dajano

• Family Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.