JESSICA JANE DANIEL PA-C NPI 1790278190

NPI Information

  • NPI: 1790278190
  • Provider Name: JESSICA JANE DANIEL, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4000 CIVIC CENTER DR STE 209
    SAN RAFAEL, CA
    ZIP 94903
  • Phone: (415) 925-8963

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NPI Details

Jessica Jane Daniel, PA-C is a surgical physician assistant in San Rafael, CA with 6 years of experience. Jessica Jane Daniel, PA-C NPI is 1790278190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4000 CIVIC CENTER DR STE 209
SAN RAFAEL, CA
ZIP 94903-233
Phone: (415) 925-8963

The NPI 1790278190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA195774OREGONNo
2363AS0400XPhysician AssistantSurgicalPA60598CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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