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

Daniel McCullough

Individual provider Physician Assistant · NPI 1992259071

Daniel McCullough is a Physician Assistant in Montclair, California. Qualified in 2016, 10 years ago. Practices with Tec Emergency Physicians of Arizona, LLC, a 156-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
10
Licensed in
AZ, CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8891 Central Ave Ste A
Montclair, CA 91763-1618
Phone: (909) 297-3361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53829 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 8672 (AZ)

Record details

NPI number1992259071
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2016
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025
Mailing address8891 Central Ave, Suite A, Montclair, CA 91763-1618

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tec Emergency Physicians Of Arizona, Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Montclair