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Physician Compare National (NPI:1073623492)

HEALTHCARE PROVIDER: DANIELLE ACTON 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 1073623492
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8426174459
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100928000731
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name ACTON
Individual professional last name
Provider First Name DANIELLE
Individual professional first name
Provider Middle Name O
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1984
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name ACACIA FAMILY MEDICAL GROUP
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 6507840394
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 5
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 400 E ROMIE LN
Group Practice or individual's line 1 address
City SALINAS
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 939014017
Group Practice or individual's zip code (9 digits when available)
Phone Number 8317700123
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 050334
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 SALINAS VALLEY MEMORIAL HOSPITAL
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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