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DR. DANIEL NOTZON M.D.
NPI 1992949457
Psychiatry & Neurology - Addiction Psychiatry in San Rafael, CA

Active since April 28, 2009PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(646) 783-2594 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Aug 29, 2016, Jan 31, 2016 (3 updates tracked since 2016).

About Dr. Daniel Notzon M.d. NPPES

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

DR. DANIEL NOTZON M.D. (NPI 1992949457) is an individual addiction psychiatry provider in San Rafael, California, licensed in California (A143089) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992949457
Entity TypeIndividualMale
Primary Taxonomy2084P0802X
Provider Legal NameDR. DANIEL NOTZONCredential: M.D.
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939 · (646) 783-2594
Phone(646) 783-2594
Sole ProprietorNo
Enumeration DateApril 28, 2009
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
✔ NPI 1992949457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
License✔ Licensed in CA · A143089
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 259028 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 SMITH RANCH RD, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Notzon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Daniel Notzon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
11 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

STEPHANIE LOPEZ
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3127
ASFAND KHAN
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JENNIFER DAWN ROSSI MA
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
AMY NICOLE URBAN
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
DR. KIM HUONG HUYNH PH.D.
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3011
CORINNE HEIMER
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
JONATHAN MICHAEL DUBOS
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000
SHIRI LICHTENSTEIN PSYD
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marin County (415) 491-3000

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 Notzon's NPI number?

The NPI number for Daniel Notzon is 1992949457. It was assigned to this individual provider in the NPPES registry on April 28, 2009.

Where is Daniel Notzon located?

Daniel Notzon practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (646) 783-2594.

What is Daniel Notzon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Daniel Notzon enrolled in Medicare?

Yes. Daniel Notzon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Notzon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Notzon reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, 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 Notzon'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 Notzon was last updated on December 17, 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.