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

Daniel Konchan

Individual provider Physician Assistant · NPI 1356047542

Daniel Konchan is a Physician Assistant in Corona del Mar, California. Qualified in 2022, 4 years ago. Practices with J M Geiss DO APC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2023

Practice location Address checks out

219 Marguerite Ave
Corona del Mar, CA 92625-3043
Phone: (949) 209-1563
Fax: (949) 539-8822
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA62239 (CA)

Record details

NPI number1356047542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 31, 2023
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address219 Marguerite Ave, Corona Del Mar, CA 92625-3043

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice J M Geiss Do Apc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Corona del Mar