Healthcare Provider Details

I. General information

NPI: 1568060622
Provider Name (Legal Business Name): DANIELLE DEBUSSEY MCCALLION FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 01/16/2026
Certification Date: 01/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8010 FROST ST STE 100
SAN DIEGO CA
92123-4222
US

IV. Provider business mailing address

9373 HAZARD WAY STE 200 STE 200
SAN DIEGO CA
92123-1226
US

V. Phone/Fax

Practice location:
  • Phone: 858-810-8000
  • Fax: 858-268-1911
Mailing address:
  • Phone: 858-810-8000
  • Fax: 858-268-1911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95015530
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: