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DR. DANIELLE MARIE FAM M.D.
NPI 1932427622
Internal Medicine in San Diego, CA

Active since May 06, 2010Opted out of Medicare · through Oct 1, 2026
1665 UNION ST STE A, SAN DIEGO, CA 92101(619) 663-5344 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Danielle Marie Fam M.d. NPPES

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

DR. DANIELLE MARIE FAM M.D. (NPI 1932427622) is an individual internal medicine provider in San Diego, California, licensed in California (C175478) and active in the NPI registry since May 2010. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1932427622
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANIELLE MARIE FAMCredential: M.D.
Location Address1665 UNION ST STE ASan Diego, CA 92101-2906
Mailing Address3241 Western Branch BlvdChesapeake, VA 23321-5260 · (757) 686-3508 · Fax (757) 686-0541
Phone(619) 663-5344
Sole ProprietorYes
Enumeration DateMay 6, 2010
Last NPPES UpdateJanuary 4, 2022
NPPES CertifiedJanuary 4, 2022
✔ NPI 1932427622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C175478✔ Licensed in VA · 0101257442
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1665 UNION ST STE A, San Diego, CA 92101
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Other Names 1

Former Name (1)Danielle Marie Corry Md

Other Identifiers 1

Other1932427622VA · Npi

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. Danielle Marie Fam M.d. 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 October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

SAN DIEGO PREP INC
Internal Medicine
1665 UNION ST STE A
SAN DIEGO, CA 92101
San Diego County (619) 736-1772
SOCAL PSYCH SOLUTIONS
Clinic/Center (Adult Mental Health)
1665 UNION ST STE A
SAN DIEGO, CA 92101
San Diego County (619) 663-5344
ANTHONY FAM, M.D., A PROFESSIONAL MEDICAL CORPORATION
Internal Medicine
1665 UNION ST STE A
SAN DIEGO, CA 92101
San Diego County (619) 663-5344

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 Danielle Fam's NPI number?

The NPI number for Danielle Fam is 1932427622. It was assigned to this individual provider in the NPPES registry on May 6, 2010. The provider is also known as Danielle Marie Corry MD.

Where is Danielle Fam located?

Danielle Fam practices at 1665 Union St Ste A, San Diego, CA 92101. The listed phone number is (619) 663-5344.

What is Danielle Fam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Danielle Fam enrolled in Medicare?

No. Danielle Fam has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Danielle Fam 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.