Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel D Vaz, MD

Individual provider Family Medicine Physician · NPI 1356950190

Daniel D Vaz, MD is a Family Practice in De Pere, Wisconsin. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1800 Lawrence Dr
De Pere, WI 54115-9108
Phone: (920) 983-3220
Fax: (920) 983-3226
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 849 Kellogg Ave, Janesville, WI 53546-2808 — (608) 755-7960

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 76380-20 (WI)

Record details

NPI number1356950190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2020
Last updated in NPPESOctober 24, 2023
Certification dateOctober 2, 2023
Mailing addressPo Box 22487, Green Bay, WI 54305-2487

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in De Pere