Individual provider Active NPI

Mary Frances McDaniel, D.O.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Venice, CA
National Provider Identifier
1982050936
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
20A 5838 Issued in CA
Practice address
1608 Pacific Ave
Suite 201
Venice, CA 90291-5112
Phone
(310) 392-6462
Fax
(310) 392-6693
NPI assigned
May 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 20A 5838 CA Primary

Addresses

Primary practice location

1608 Pacific Ave
Suite 201
Venice, CA 90291-5112

Mailing address

1608 Pacific Ave
Suite 201
Venice, CA 90291-5112
Phone (310) 392-6462

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A 5838CAMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1982050936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 PACIFIC AVE",
            "address_2": "SUITE 201",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915112",
            "telephone_number": "310-392-6462",
            "fax_number": "310-392-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 PACIFIC AVE",
            "address_2": "SUITE 201",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902915112",
            "telephone_number": "310-392-6462",
            "fax_number": "310-392-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "20A 5838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.