DANIEL G WHITE (MD) – Family Medicine Physician, NPI 1013919190

DANIEL G WHITE (MD) is a healthcare provider. based in Petaluma, California. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. G59557 (CA). The NPI Number for DANIEL G WHITE (MD) is 1013919190

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL G WHITE (MD)
NPI
1013919190
Phone
(707) 765-3900
Address
3900 LAKEVILLE HWY
Enumeration Date
10 August 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7077653900
Graduation Year
1977 (49 years ago)
PAC ID
5193633824
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20051207000509
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DANIEL G WHITE (MD)

  • Lakeville Highway, Petaluma, Sonoma County, California, United States

    PETALUMA, CA 949545698

    Phone: (707) 765-3900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051207000509IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94954)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What is DANIEL G WHITE (MD)'s NPI number?
DANIEL G WHITE (MD)'s NPI is 1013919190 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DANIEL G WHITE (MD)?
You should see DANIEL G WHITE (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DANIEL G WHITE (MD)?
DANIEL G WHITE (MD) is associated with Family Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DANIEL G WHITE (MD) associated with Petaluma?
Public fields place DANIEL G WHITE (MD) around Petaluma, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DANIEL G WHITE (MD) is noted as August 10, 2005 where the registry provides it.

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