Physician Compare National (NPI:1013916733)

HEALTHCARE PROVIDER: DANIEL J BUCKLEY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013916733
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1658443924
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080701000434
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BUCKLEY
	Individual professional last name
Provider First Name	DANIEL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TULANE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1983
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1800 SULLIVAN AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	RM 410
	Group Practice or individual's line 2 address
City	DALY CITY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940152224
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4159919007
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050289
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SETON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y