JESSICA JANE DANIEL PA-C
NPI 1790278190
Physician Assistant - Surgical in San Rafael, CA

Q: What is Jessica Daniel's NPI number?

The NPI number for Jessica Daniel is 1790278190. It was assigned to this individual provider in the NPPES registry on June 11, 2018.

Q: What is Jessica Daniel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Daniel was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 11, 2018PECOS Enrolled

4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Mar 9, 2021, May 19, 2020 and 1 more (4 updates tracked since 2018).

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About Jessica Jane Daniel Pa-c NPPES

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

JESSICA JANE DANIEL PA-C (NPI 1790278190) is an individual surgical provider in San Rafael, California, licensed in California (PA60598) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790278190

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJESSICA JANE DANIELCredential: PA-C

Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233

Mailing Address4000 Civic Center Dr Ste 209San Rafael, CA 94903-5233 · (415) 925-8963

Phone(415) 925-8963

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJune 11, 2018

Last NPPES UpdateOctober 3, 20234 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1790278190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA60598

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA195774 (OR)

4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

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Secondary Practice Locations 2

Location 15050 NE Hoyt St Ste 454Portland, OR 97213-2984 · Phone (503) 215-6405

Location 22730 SW Moody Ave # Cl5PaPortland, OR 97201-5042 · Phone (503) 494-9645 · Fax (503) 494-1409

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Jane Daniel Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42645152

PECOS Enrollment IDI20230831000993

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

415 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services88 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services80 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

78 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

26 services24 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC BAVA M.D.

Orthopaedic Surgery