MR. DANIEL J HEADRICK


Address: 34085 Pacific Coast Hwy., Ste. 203, Dana Point, CA 92629-2765
Phone: 7143773749

MR. DANIEL J HEADRICK (NPI# 1770649816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770649816
Entity Type Individual
Full Name MR. DANIEL J HEADRICK
Credential M.D.
Practice Address 34085 Pacific Coast Hwy.
Ste. 203
Dana Point
CA 92629-2765
Mailing Address Po Box 6747
Huntington Beach
CA 92615-6747
Practice Telephone 7143773749
Practice Fax Number 7143775642
Mailing Telephone 7143773749
Mailing Fax Number 7143775642
Enumeration Date 2006-12-30
Last Update Date 2017-02-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
00G451440 CA Allopathic & Osteopathic Physicians
N 207QA0401X Family Medicine
Specialization: Addiction Medicine
G45144 CA Allopathic & Osteopathic Physicians

Other Providers DANIEL HEADRICK

NPI Name Taxonomy Address Enumeration
1275571333 Daniel Earl Headrick Anesthesiology 1 Medical Park Dr, Benton, AR 72015-3353 2006-06-02
1902887664 Daniel Wilson Headrick Physical Therapist 149 Raymond Hirsch Pkwy, Suite #1, White House, TN 37188-4332 2005-11-09

Office Location

Street Address 34085 PACIFIC COAST HWY.
STE. 203
City DANA POINT
State CA
Zip Code 92629-2765

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003443144 Torrey Dawn Commisso Counselor 34092 Violet Lantern, Suite 100, Dana Point, CA 92629 2020-03-26
1104466473 Kirsten Noelle Yackley Marriage & Family Therapist 34202 Del Obispo, Dana Point, CA 92629 2020-01-14
1154971653 Alicia Jolieta Ciriani Technician 25082 Perch Dr., Dans Point, CA 92629 2019-09-17
1821640137 L Snyder Incorporated Family Medicine 34052 La Plaza #101, Dana Point, CA 92629 2019-07-16
1023572609 Michelle Shickler Behavioral Analyst 32565 Golden Lantern Suite B #180, Dana Point, CA 92629 2019-01-28
1649734427 Gustavo Asencia Behavioral Analyst 32565 Golden Lantern Ste B180, Dana Point, CA 92629 2019-01-25
1275069684 Mission Rehab, LLC. Substance Abuse Rehabilitation Facility 32656 Golden Lantern, Suite B #473, Dana Point, CA 92629 2017-05-04
1922548452 Dana Point Rehab Campus Substance Abuse Rehabilitation Facility 33842 Orilla Rd, Dana Point, CA 92629 2017-03-02
1316340060 Steven Edward Dunbar Chiropractor 32585 Golden Lantern St. Suite H, Dana Point, CA 92629 2014-10-08
1427476183 Lorraine Ann Sherrie Occupational Therapy Assistant 24242 La Cresta, Ot Department, Dana Point, CA 92629 2014-03-31
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Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821640137 L Snyder Incorporated Family Medicine 34052 La Plaza #101, Dana Point, CA 92629 2019-07-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332726 True North Detox LLC Family Medicine 2413 Whitmore Ave, Clovis, CA 93619-9252 2020-09-28
1639717473 Michael Stone Md Inc Family Medicine 1950 E 17th St Ste 101, Santa Ana, CA 92705-6852 2019-12-11
1720624497 Marina Harbor Detox Family Medicine 289 Marina Blvd, San Francisco, CA 94123-1212 2019-11-18
1093363848 Anthony Martin Ocana Family Medicine 13924 Marquesas Way Apt 1520, Marina Del Rey, CA 90292-6018 2019-08-26
1720645328 Creative Child and Family Services, Inc. Family Medicine 7049 Ohio River Dr, Eastvale, CA 91752 2019-05-20
1932666575 Gold Country Health Initiative, LLC Family Medicine 820/830 State Highway 88, Jackson, CA 95642 2019-03-01
1629550660 University of California Sfgh Medical Group Family Medicine 1001 Potrero Ave Rm 5h22, San Francisco, CA 94110-3518 2018-09-06
1952809592 Sunrise Health & Wellness Center, LLC Family Medicine 10089 Folsom Blvd. Suites A & C, Rancho Cordova, CA 95670-1935 2018-01-29
1487166120 Good Samaritan Shelter Family Medicine 412 East Tunnell Street, Santa Maria, CA 93454 2017-11-03
1790206761 Recovery Point Acute Care Family Medicine 104b W Morrison Ave, Santa Maria, CA 93458 2017-06-29
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Competitor

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City DANA POINT
Zip Code 92629

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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