DR. STEPHANIE MARIA DANIEL D.O.
NPI 1336491984
General Practice in San Rafael, CA

NPI Status: Active since October 05, 2012

Contact Information

2144 4TH ST STE A
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 390-2060
Fax: (415) 466-8031

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  • Individual
  • Female
  • General Practice
  • PECOS Enrolled
  • Opted-Out Medicare

About STEPHANIE DANIEL

This page provides the complete NPI Profile along with additional information for Stephanie Daniel, a primary care provider established in San Rafael, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1336491984 assigned on October 2012. The practitioner's primary taxonomy code is 208D00000X with license number 20A12457 (CA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1336491984
Provider Name
DR. STEPHANIE MARIA DANIEL D.O.
Gender
Female
Entity Type
Individual
Location Address
2144 4TH ST STE A SAN RAFAEL, CA 94901
Location Phone
(415) 390-2060
Location Fax
(415) 466-8031
Mailing Address
1700 SHATTUCK AVE #177 BERKELEY, CA 94709
Mailing Phone
(510) 848-8585
Mailing Fax
(415) 466-8031
Is Sole Proprietor?
Yes
Enumeration Date
10-05-2012
Last Update Date
04-21-2021
Code Navigator

A primary care provider (PCP) like Stephanie Daniel sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Stephanie Daniel opted out of Medicare effective on 04-23-2017 until 04-23-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
20A12457
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS Enrollment Status

Stephanie Daniel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 04-23-2017

  • Opt-Out End Date: 04-23-2027

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336491984, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 8 + 9 + 2 + 9 + 1 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336491984.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336491984, enumerated as an "individual" on October 05, 2012.

The provider is located at 2144 4TH ST STE A SAN RAFAEL, CA 94901 and the phone number is (415) 390-2060.

General Practice with taxonomy code 208D00000X.