DR. CLAYTON RICHARD MCDANIEL (NPI# 1851326458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851326458 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON RICHARD MCDANIEL |
| Credential | MD |
| Practice Address |
1066 S Green Valley Rd Watsonville CA 95076 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 8317222422 |
| Practice Fax Number | 8317222855 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2018-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A87092 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A870920 | 05 | |
| CA | CLIA | 05D1058636 | 01 |
| CA | PTAN | 00A870922 | 01 |
| Street Address |
1066 S GREEN VALLEY RD |
| City | WATSONVILLE |
| State | CA |
| Zip Code | 95076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629634829 | Brenda D De La Torre | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-05-13 |
| 1164985644 | Kellee English | Physician Assistant | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2019-04-10 |
| 1649539701 | Leah Yurek | Nurse Practitioner | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2012-05-10 |
| 1659572923 | Robert J Weber | Family Medicine | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2007-05-31 |
| 1356494850 | Rachel Hannah Ruby | Nurse Practitioner | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2007-01-19 |
| 1235207184 | Robert Joseph Weber | Family Medicine | 1066 S Green Valley Rd, Watsonville, CA 95076-4163 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757515 | Vicky E Gonzalez | Case Manager/Care Coordinator | 2714 Freedom Blvrd, Watsonville, CA 95076 | 2019-02-28 |
| 1861987059 | Encompass Community Services | Community/Behavioral Health | 2714 Freedom Blvd., Freedom, CA 95076 | 2018-06-29 |
| 1134617798 | Haven of Hope, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 107 Pauline Dr, Watsonville, CA 95076 | 2018-04-28 |
| 1346743911 | Kathleen Long | Physician Assistant | 2468, 75 Nielson St, Watsonville, CA 95076 | 2018-03-09 |
| 1811403603 | Hieu Thi Thanh Nguyen Boulom | Pharmacist | 2810 Freedom Blvd, Watsonview, CA 95076 | 2017-12-16 |
| 1649798398 | Jonathon Rank | Counselor | 335 East Lake Ave, Watsonville, CA 95076 | 2017-09-01 |
| 1841653318 | Cristina Guzman | Registered Nurse | 195 Aviation Way, Ste 200, Watsonville, CA 95076 | 2016-04-01 |
| 1013388974 | Salud Para La Gente | Clinic/Center | 195 Aviation Way, Suite 200, Watsonville, CA 95076 | 2015-10-16 |
| 1386025757 | Yaseer Yousuf Parupia | Podiatrist | 47 Penny Lane, Suite 1, Watsonville, CA 95076 | 2015-06-11 |
| 1093100935 | Diana Perezchica | Counselor | 20716 Freedom Blv, Watsonville, CA 95076 | 2015-03-30 |
| Find all providers in zip 95076 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083093553 | Gary J Zane | Family Medicine | 575 Auto Center Dr, Watsonville, CA 95076-3727 | 2015-05-29 |
| 1396010872 | Paige Lee Moore | Family Medicine | 550 So. Green Valley Road, Watsonville, CA 95076-3053 | 2012-03-15 |
| 1558658609 | Felix Benjamin Alfaro | Family Medicine | 82 Logan St, Watsonville, CA 95076-2708 | 2011-07-08 |
| 1891932752 | Rebecca Lynn Kershnar | Family Medicine | 550 So. Green Valley Rd, Watsonville, CA 95076-3053 | 2009-01-14 |
| 1841442761 | John Hannegan Lipson | Family Medicine | 1430 Freedom Blvd Ste D, Watsonville, CA 95076-2752 | 2008-10-22 |
| 1023161619 | Anne-marie Edith Mcdaniel | Family Medicine | 1066 S. Green Valley Rd., Watsonville, CA 95076 | 2007-01-19 |
| 1740345271 | Kevin Coldwater | Family Medicine | 45 Nielson St, Watsonville, CA 95076-2468 | 2006-12-26 |
| 1518027630 | S Todd Mitchell | Family Medicine | 445 Summit Road, Watsonville, CA 95076 | 2006-12-11 |
| 1831262880 | Ariel Martinez | Family Medicine | 1185 Freedom Blvd #1, Watsonville, CA 95076 | 2006-11-16 |
| 1457436990 | Jeff Lester | Family Medicine | 65 Aspen Way Ste 1, Watsonville, CA 95076-6054 | 2006-10-25 |
| Find all providers in WATSONVILLE | ||||
| City | WATSONVILLE |
| Zip Code | 95076 |
Please comment or provide details below to improve the information on DR. CLAYTON RICHARD MCDANIEL.
| 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.