DANIEL CONSTANDSE MD
NPI 1275725087
Family Medicine - Adult Medicine in Tustin, CA

Q: What is Daniel Constandse's NPI number?

The NPI number for Daniel Constandse is 1275725087. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Daniel Constandse's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Constandse was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2007PECOS Enrolled

661 W 1ST ST STE G, TUSTIN, CA 92780(714) 665-9890(714) 665-9891 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2024, Dec 6, 2021 (2 updates tracked since 2021).

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About Daniel Constandse Md NPPES

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

DANIEL CONSTANDSE MD (NPI 1275725087) is an individual adult medicine provider in Tustin, California, licensed in California (A100929) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1275725087

Entity TypeIndividualMale

Primary Taxonomy207QA0505X

Provider Legal NameDANIEL CONSTANDSECredential: MD

Location Address661 W 1ST ST STE GTustin, CA 92780-2939

Mailing Address661 W 1st St Ste GTustin, CA 92780-2939 · (714) 665-9890 · Fax (714) 665-9891

Phone(714) 665-9890

Fax(714) 665-9891

Sole ProprietorNo

Enumeration DateAugust 15, 2007

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1275725087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0505X

License✔ Licensed in CA · A100929

Definition

The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

661 W 1ST ST STE G, Tustin, CA 92780

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Secondary Practice Locations 2

Location 111180 Warner Ave Ste 353Fountain Valley, CA 92708-4098 · Phone (714) 968-6789 · Fax (714) 202-2626

Location 29918 Katella Ave Ste A-CAnaheim, CA 92804-6465 · Phone (714) 644-9494 · Fax (714) 644-9894

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 Constandse Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GOOD SHEPHERD MEDICAL CLINIC, INC

Family Medicine