MR. JAMAL-EDDIN DAHER (PA-C) – Physician Assistant, NPI 1134870827

MR. JAMAL-EDDIN DAHER (PA-C) is a healthcare provider. based in Redding, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA66166 (CA). The NPI Number for MR. JAMAL-EDDIN DAHER (PA-C) is 1134870827

Main info

Male
5 Years Of Experience
Name
MR. JAMAL-EDDIN DAHER (PA-C)
NPI
1134870827
Phone
(530) 722-4942
Address
2400 Washington Ave Ste 220
Enumeration Date
13 January 2022
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882978080
Graduation Year
2021 (5 years ago)
PAC ID
2062806169
Group Practice PAC ID
5395072490
Professional Enrollment ID
I20251013003029
Address ID
CA960804316RE420XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. JAMAL-EDDIN DAHER (PA-C)

  • 2400 Washington Ave Ste 220

    Redding, CA 960012839

    Phone: (530) 722-4942

    Type: Location

  • 4502 RIVERSTONE BLVD STE 601

    MISSOURI CITY, TX 774595205

    Phone: (281) 778-9530

    Type: Mailing

  • 3927 S HOWELL AVE STE 101

    MILWAUKEE, WI 532074421

    Phone: (414) 295-9611

    Type: Mailing

  • 3927 S HOWELL AVE

    MILWAUKEE, WI 532074421

    Phone: (414) 295-9611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-06-09 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20220307002310IPhysician AssistantTXTBD
I20240529001444IPhysician AssistantNCTBD
I20250611001014IPhysician AssistantWITBD
I20251013003029IPhysician AssistantCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90833Psychotherapy with evaluation and management visit, 30 minutes2214$0
99214Established patient office or other outpatient visit, 30-39 minutes1813$0
View full utilization report →

Insurance plans in this area (ZIP 96001)

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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: 5395072490View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Physician AssistantNC
Physician AssistantCA
Nurse PractitionerTX
Physician AssistantDE
Marriage And Family TherapistCA
Physician AssistantCA
Physician AssistantCA
Clinical Social WorkerCA
Physician AssistantCA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. JAMAL-EDDIN DAHER (PA-C)?
NPI 1134870827 is assigned to MR. JAMAL-EDDIN DAHER (PA-C) under the national enumeration system.
Is MR. JAMAL-EDDIN DAHER (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. JAMAL-EDDIN DAHER (PA-C) work in?
You can think of MR. JAMAL-EDDIN DAHER (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JAMAL-EDDIN DAHER (PA-C)?
The snapshot lists Redding, California for MR. JAMAL-EDDIN DAHER (PA-C); download NPPES for the complete set.
What if Redding, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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