Daniel Link Fortmann (NPI# 1114197142, PAC ID# 6002008554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1114197142 |
| PAC ID by PECOS | 6002008554 |
| Professional Enrollment ID | I20101004000245 |
| Full Name | Daniel Link Fortmann |
| Address |
32281 Camino Capistrano Suite C102 San Juan Capistrano CA 92675-3784 |
| Gender | M |
| Medical School | UMDNJ-NEW JERSEY MEDICAL SCHOOL |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| 050603 | SADDLEBACK MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 32281 Camino Capistrano, Suite C102, San Juan Capistrano, CA 92675-3784 |
| Street Address |
32281 CAMINO CAPISTRANO SUITE C102 |
| City | SAN JUAN CAPISTRANO |
| State | CA |
| Zip | 92675-3784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra R Gierut | Obstetrics/gynecology | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Jeff D Tracy | Family Medicine | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Michael P Gleeson | Obstetrics/gynecology | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Steve C Na | Family Medicine | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Damien P Moore | Obstetrics/gynecology | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Nasim Md Murray | Family Medicine | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Lisa Shulman | Physical Therapy | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Jasbir Kaur | Family Medicine | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Kristine L Zaffina | Physical Therapy | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Scott L Ratliff | Physical Therapy | Southern California Permanente Medical Group | 30400 Camino Capistrano, San Juan Capistrano, CA 92675-1300 |
| Find all physicians in zip 92675 | |||
| City | SAN JUAN CAPISTRANO |
| Zip Code | 92675 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAN JUAN CAPISTRANO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Daniel Link Fortmann.
| 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.