Provider Demographics
NPI:1255492641
Name:HUNTER, DANIEL BRIAN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:BRIAN
Last Name:HUNTER
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:KAISER MEDICAL CENTER, ELDER CARE DEPT
Mailing Address - Street 2:2025 MORSE AVE
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825
Mailing Address - Country:US
Mailing Address - Phone:916-977-3187
Mailing Address - Fax:
Practice Address - Street 1:KAISER MEDICAL CENTER, ELDER CARE DEPT
Practice Address - Street 2:2025 MORSE AVE
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825
Practice Address - Country:US
Practice Address - Phone:916-973-6935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA13920363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant