Healthcare Provider Details

I. General information

NPI: 1124355441
Provider Name (Legal Business Name): DANIEL WILLIAM CABLE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: WILL CABLE EDD, PA-C

II. Dates (important events)

Enumeration Date: 11/06/2009
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 CAMINO MERCADO STE 536
ARROYO GRANDE CA
93420-1814
US

IV. Provider business mailing address

536 CAMINO MERCADO
ARROYO GRANDE CA
93420-1814
US

V. Phone/Fax

Practice location:
  • Phone: 805-540-0279
  • Fax:
Mailing address:
  • Phone: 805-540-0279
  • Fax: 800-417-9245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: