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DANIEL E. ANDREWS IV MD
NPI 1205586005
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since March 24, 2022PECOS Enrolled
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 547-5716 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Daniel E. Andrews Iv Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL E. ANDREWS IV MD (NPI 1205586005) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1205586005
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL E. ANDREWS IVCredential: MD
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address1800 N California StStockton, CA 95204-6019
Phone(209) 547-5716
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1205586005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1800 N CALIFORNIA ST, Stockton, CA 95204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel E. Andrews Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466925557
PECOS Enrollment IDI20260619001625
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Andrews reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals
57 mi
Psychiatric Hospital
2100 NAPA VALLEJO HWY
Napa, CA 94558
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1326098161 (707) 253-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEEPAK GIR MD
Internal Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7177
PRIYADEEP KANG MD
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
NANCY THI NGUYEN CF-SLP
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000
DR. VALERIE DEJESUS MD
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-5716
LARRY GEORGE OTTERSTETTER DO
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 547-7181
SHUBHPREET KAUR SOHAL
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 466-0456
RONLI LEVI RD
Dietitian, Registered
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 467-5356
JOSEPH HOWARD HOFFMAN DO
Emergency Medicine
1800 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 943-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Andrews's NPI number?

The NPI number for Daniel Andrews is 1205586005. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Daniel Andrews located?

Daniel Andrews practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-5716.

What is Daniel Andrews's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Daniel Andrews enrolled in Medicare?

Yes. Daniel Andrews is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Andrews's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Andrews reassigns Medicare benefits to Department Of State Hospitals (Napa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Andrews's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Andrews was last updated on March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.