Provider Demographics
NPI:1710088109
Name:MCCAULEY, DANIEL (MD)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:MCCAULEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 N OLIVE AVE
Mailing Address - Street 2:3
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2501
Mailing Address - Country:US
Mailing Address - Phone:209-634-9034
Mailing Address - Fax:209-634-0794
Practice Address - Street 1:1729 N OLIVE AVE
Practice Address - Street 2:3
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2501
Practice Address - Country:US
Practice Address - Phone:209-634-9034
Practice Address - Fax:209-634-0794
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA32115207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1710088109Medicaid
CAGR0043050Medicaid
CAZZZ21828ZMedicare ID - Type Unspecified