Provider Demographics
NPI:1457577991
Name:NEWTON, DANIEL JAY (CP,FAAOP)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:JAY
Last Name:NEWTON
Suffix:
Gender:M
Credentials:CP,FAAOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2624 F ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1816
Mailing Address - Country:US
Mailing Address - Phone:661-323-5944
Mailing Address - Fax:661-323-2820
Practice Address - Street 1:2624 F ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1816
Practice Address - Country:US
Practice Address - Phone:661-323-5944
Practice Address - Fax:661-323-2820
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACP 1179222Z00000X, 224P00000X, 225000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Not Answered224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Not Answered225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter