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: August 16, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204

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.

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.