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

Daniel J Wall, MD

Individual provider Dermatology Physician · NPI 1508852013

Daniel J Wall, MD is a Dermatology in Danville, California. Graduated from Rutgers, Robert Woood Johnson Medical School in 1997, 29 years ago. Practices with Hayes B Gladstone MD PC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Rutgers, Robert Woood Johnson Medical School
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone: (925) 837-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1808 Tice Valley Blvd, Walnut Creek, CA 94595-2224 — (925) 837-6000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A74764 (CA)

Record details

NPI number1508852013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 21, 2005
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address3860 Blackhawk Rd Ste 140, Danville, CA 94506-4832

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolRUTGERS, ROBERT WOOOD JOHNSON MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Hayes B Gladstone Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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