DANIEL TYLER BOULAND MD
NPI 1720308737
Anesthesiology - Addiction Medicine in Orange, CA
About Daniel Tyler Bouland Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL TYLER BOULAND MD (NPI 1720308737) is an individual addiction medicine provider in Orange, California, licensed in California (A141611) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Daniel Tyler Bouland Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Daniel Bouland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ORANGE, CA 92868
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 Bouland's NPI number?
The NPI number for Daniel Bouland is 1720308737. It was assigned to this individual provider in the NPPES registry on June 2, 2010.
Where is Daniel Bouland located?
Daniel Bouland practices at 4201 W Chapman Ave, Orange, CA 92868. The listed phone number is (714) 748-6298.
What is Daniel Bouland's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Addiction Medicine, with taxonomy code 207LA0401X.
Is Daniel Bouland enrolled in Medicare?
Yes. Daniel Bouland is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Daniel Bouland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Bouland reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Bouland'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 Bouland was last updated on December 6, 2021. 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.
# Daniel Tyler Bouland, MD · NPI 1720308737
Addiction Medicine physician in Orange, California. Individual provider, active in the CMS NPPES registry since June 2, 2010.
## Identity
- **NPI:** 1720308737 (Entity type: Individual)
- **Enumerated:** June 2, 2010
- **Primary specialty:** Anesthesiology - Addiction Medicine · taxonomy 207LA0401X
- **State license:** A141611 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4201 W CHAPMAN AVE, Orange, CA 92868-1505
- **Phone:** (714) 748-6298
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loma Linda University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1720308737) · Data from the CMS NPPES public registry.