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

Individual provider Specialist · NPI 1467409250

Theodoros Michael Daskalakis, MD is a General Surgery in Fullerton, California. Qualified in 1995, 31 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2006
Specialties on file
2
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

2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3827
Phone: (714) 626-8630
Fax: (714) 626-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A90653 (CA)
Specialist Taxonomy 174400000X · Licence A90653 (CA)

Record details

NPI number1467409250
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 27, 2006
Last updated in NPPESApril 29, 2013
Mailing address279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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