DANIEL MATTHEW FENTRESS (MD) – Family Medicine Physician, NPI 1649583071

DANIEL MATTHEW FENTRESS (MD) is a healthcare provider. based in Martinez, California. specializing in FAMILY PRACTICE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. A109455 (CA). The NPI Number for DANIEL MATTHEW FENTRESS (MD) is 1649583071

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL MATTHEW FENTRESS (MD)
NPI
1649583071
Phone
(925) 313-6098
Address
595 CENTER AVE
Enumeration Date
14 July 2010
Last Update Date
14 July 2010

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
7075568100
Graduation Year
2008 (18 years ago)
PAC ID
5294950218
Group Practice PAC ID
1557258282
Professional Enrollment ID
I20140708001415
Address ID
CA945906004VA415XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DANIEL MATTHEW FENTRESS (MD)

  • 595 CENTER AVE

    SUITE 300

    MARTINEZ, CA 945534633

    Phone: (925) 313-6098

    Fax: (925) 313-6599

    Type: Mailing

  • 2500 ALHAMBRA AVE

    MARTINEZ, CA 945533156

    Phone: (925) 370-5110

    Fax: (925) 370-5142

    Type: Location

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: 2014-07-08

PECOS data refreshed: 2026-05-27

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
I20140708001415IFamily 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 94553)

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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: 1557258282View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
-CA
O P T O M E T R YCA
Family PracticeCA

Reviews

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Frequently asked questions

What identifier follows DANIEL MATTHEW FENTRESS (MD) across health systems?
The NPI 1649583071 uniquely identifies DANIEL MATTHEW FENTRESS (MD) in U.S. healthcare data.
Is DANIEL MATTHEW FENTRESS (MD)'s NPI status active today?
Active status means DANIEL MATTHEW FENTRESS (MD)'s NPI record is not deactivated in the public file.
What services align with DANIEL MATTHEW FENTRESS (MD)'s listing?
DANIEL MATTHEW FENTRESS (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DANIEL MATTHEW FENTRESS (MD)?
DANIEL MATTHEW FENTRESS (MD) shows a connection to Martinez, California in registry-derived data.
Can I export DANIEL MATTHEW FENTRESS (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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