1. Home
  2. Directory
  3. California
  4. San Rafael
  5. General Practice
  6. NPI Profile

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

Active since October 05, 2012Opted out of Medicare · through Apr 23, 2027
2144 4TH ST STE A, SAN RAFAEL, CA 94901(415) 390-2060(415) 466-8031 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephanie Maria Daniel D.o. NPPES

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

DR. STEPHANIE MARIA DANIEL D.O. (NPI 1336491984) is an individual general practice provider in San Rafael, California, licensed in California (20A12457) and active in the NPI registry since October 2012. She has opted out of Medicare through April 23, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336491984
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. STEPHANIE MARIA DANIELCredential: D.O.
Location Address2144 4TH ST STE ASan Rafael, CA 94901-2668
Mailing Address1700 Shattuck Ave, #177Berkeley, CA 94709-3402 · (510) 848-8585 · Fax (510) 803-5657
Phone(415) 390-2060
Fax(415) 466-8031
Sole ProprietorYes
Enumeration DateOctober 5, 2012
Last NPPES UpdateApril 21, 2021
NPPES CertifiedApril 21, 2021
✔ NPI 1336491984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · 20A12457
Definition
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
2144 4TH ST STE A, San Rafael, CA 94901
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephanie Maria Daniel D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 23, 2017 through April 23, 2027.

Opt-Out Effective DateApril 23, 2017
Opt-Out In Effect ThroughApril 23, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Stephanie Daniel's NPI number?

The NPI number for Stephanie Daniel is 1336491984. It was assigned to this individual provider in the NPPES registry on October 5, 2012.

Where is Stephanie Daniel located?

Stephanie Daniel practices at 2144 4th St Ste A, San Rafael, CA 94901. The listed phone number is (415) 390-2060.

What is Stephanie Daniel's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Stephanie Daniel enrolled in Medicare?

No. Stephanie Daniel has opted out of Medicare through April 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Stephanie Daniel was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.