Daniel E Mcmillan (NPI# 1588692107, PAC ID# 3375508120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588692107 |
| PAC ID by PECOS | 3375508120 |
| Professional Enrollment ID | I20090403000488 |
| Full Name | Daniel E Mcmillan |
| Organization Legal Name | PURISIMA FAMILY MEDICINE, INC. |
| Address |
575 Kelly St Half Moon Bay CA 94019-1719 |
| Phone Number | 6505600216 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800942533 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050007 | PENINSULA MEDICAL CENTER |
| 050289 | SETON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 575 Kelly St, Half Moon Bay, CA 94019-1719 | 6505600216 | PURISIMA FAMILY MEDICINE, INC. |
| Organization Legal Name | PURISIMA FAMILY MEDICINE, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Pavliscak | Family Medicine | Purisima Family Medicine, Inc. | 575 Kelly St, Half Moon Bay, CA 94019-1719 |
| Lala C Rodriguez | Physician Assistant | Purisima Family Medicine, Inc. | 575 Kelly St, Half Moon Bay, CA 94019-1719 |
| Street Address |
575 KELLY ST |
| City | HALF MOON BAY |
| State | CA |
| Zip | 94019-1719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Pavliscak | Family Medicine | Purisima Family Medicine, Inc. | 575 Kelly St, Half Moon Bay, CA 94019-1719 |
| Lala C Rodriguez | Physician Assistant | Purisima Family Medicine, Inc. | 575 Kelly St, Half Moon Bay, CA 94019-1719 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila A. Fellows | Clinical Social Worker | 131 Kelly Ave, Half Moon Bay, CA 94019-1629 | |
| Irwin Cohen | Podiatry | 585 Kelly St, Half Moon Bay, CA 94019-1719 | |
| Bette Landau Gould | Optometry | 210 Main St, Suite 100, Half Moon Bay, CA 94019-1722 | |
| Mark T Heath | Chiropractic | 339 Main St, Half Moon Bay, CA 94019-1723 | |
| Gale W Mcintosh | Physical Therapy | 300 Main St, Suite 5, Half Moon Bay, CA 94019-1742 | |
| Anna Maria Munoz | Clinical Social Worker | 725 Main St, Half Moon Bay, CA 94019-1924 | |
| Angela Bolton | Chiropractic | 717 Main St, Half Moon Bay, CA 94019-1924 | |
| Pamela C Carrington Tribble | Family Medicine | Dignity Health Medical Foundation | 799 Main St, Suite D, Half Moon Bay, CA 94019-1946 |
| Christine B Ely | Physical Therapy | 785 Main St, A, Half Moon Bay, CA 94019-1987 | |
| Josefina R Enriquez | Internal Medicine | 890 Main St, Half Moon Bay, CA 94019-2180 | |
| Find all physicians in zip 94019 | |||
| City | HALF MOON BAY |
| Zip Code | 94019 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HALF MOON BAY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Daniel E Mcmillan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.