RICHARD DANIALAN D.O
NPI 1861704058
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Active since July 05, 2010PECOS EnrolledAccepts Medicare Assignment
4301 N STAR WAY, MODESTO, CA 95356(209) 577-1200(209) 577-6517 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2022, Jun 7, 2017 (2 updates tracked since 2017).

About Richard Danialan D.o NPPES

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

RICHARD DANIALAN D.O (NPI 1861704058) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (20A13177) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (2010).

NPPES Registry Identity

NPI1861704058
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameRICHARD DANIALANCredential: D.O
Location Address4301 N STAR WAYModesto, CA 95356-9262
Mailing Address975 Sereno DrVallejo, CA 94589-2441 · (209) 577-1200 · Fax (209) 577-6517
Fax(209) 577-6517
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2010
Enumeration DateJuly 5, 2010
Last NPPES UpdateJanuary 4, 20222 updates tracked since enumeration
✔ NPI 1861704058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · 20A13177
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4301 N STAR WAY, Modesto, CA 95356

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

Richard Danialan D.o 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.

PECOS PAC ID1951615525
PECOS Enrollment IDI20160426002019
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Richard Danialan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
4301 N STAR WAY
Modesto, CA 95356
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Specialist/Technologist, Pathology (Histology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Specialist/Technologist, Pathology (Histology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Emergency Medicine
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356

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 Richard Danialan's NPI number?

The NPI number for Richard Danialan is 1861704058. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Where is Richard Danialan located?

Richard Danialan practices at 4301 N Star Way, Modesto, CA 95356. The listed phone number is (209) 577-1200.

What is Richard Danialan's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Richard Danialan enrolled in Medicare?

Yes. Richard Danialan 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 organizations bill Medicare for Richard Danialan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Danialan reassigns Medicare benefits to 2 organizations: Yosemite Pathology Medical Group, Inc (Modesto, CA) and Permanente Medical Group Inc (Stockton, CA). Each 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 Richard Danialan'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 Richard Danialan was last updated on January 4, 2022. 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.