Healthcare Provider Details

I. General information

NPI: 1003695990
Provider Name (Legal Business Name): DANIELLE LISA GINSBURG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

945 BLANCO CIR STE A
SALINAS CA
93901-4421
US

IV. Provider business mailing address

945 BLANCO CIR STE A
SALINAS CA
93901-4421
US

V. Phone/Fax

Practice location:
  • Phone: 530-255-7507
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA67926
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: