Provider Demographics
NPI:1598453268
Name:ALEXANDER, DANIEL (EMT)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19196 MOUNT LASSEN DR
Mailing Address - Street 2:
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94552-1923
Mailing Address - Country:US
Mailing Address - Phone:510-826-9531
Mailing Address - Fax:
Practice Address - Street 1:19196 MOUNT LASSEN DR
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94552-1923
Practice Address - Country:US
Practice Address - Phone:510-826-9531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE181628146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic