Healthcare Provider Details

I. General information

NPI: 1104836402
Provider Name (Legal Business Name): DAN D HOPNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2060 ABORN RD STE 100
SAN JOSE CA
95121-1585
US

IV. Provider business mailing address

2060 ABORN RD STE 100
SAN JOSE CA
95121-1585
US

V. Phone/Fax

Practice location:
  • Phone: 408-223-9055
  • Fax: 408-223-7490
Mailing address:
  • Phone: 408-223-9055
  • Fax: 408-223-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA36372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: