MEDICARE: DANIEL WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	225400000X	Rehabilitation Practitioner	CA
2	373H00000X	Day Training/Habilitation Specialist	CA
3	101YM0800X	Mental Health Counselor	CA
4	171M00000X	Case Manager/Care Coordinator	CA
5	372600000X	Adult Companion	CA

General Provider Information

NPI Number	:	1790430890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WHITE

Provider Business Mailing Address
First Line	:	18225 HALE AVE
Second Line	:
City	:	MORGAN HILL
State	:	CA
Zip	:	95037-3547
Country	:	US
Telephone Number	:	408-465-8280
Fax Number	:

Provider Business Practice Location Address
First Line	:	9343 TECH CENTER DR STE 110
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95826-2592
Country	:	US
Telephone Number	:	408-465-8280
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	01/15/2026

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Directions to “ DANIEL WHITE ” Practice Location

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