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Dr. Vijai Joseph Daniel, MD, MPH

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Specializes in: Adult Pulmonology and Adult Critical Care

Professional interests include: coronary angiogram, bronchoscopy, sleep study, and more.

1660 E Herndon Avenue Suite 101
Fresno, CA 93720

(559) 431-9753

Dr. Vijai Joseph Daniel, MD, MPH is a pulmonologist in Martinez, CA specializing in adult pulmonology and adult critical care. Dr. Vijai Joseph Daniel, MD, MPH is affiliated with Saint Agnes Medical Center, U.S. Department of Veterans Affairs and ARYA MEDICAL GROUP CORP.

Office Locations

Unable to locate address.

Address:

150 Muir Road Va Northern California (612)
Martinez, CA 94553

Address:

1660 E Herndon Avenue Suite 101
Fresno, CA 93720

Some issues Dr. Vijai Joseph Daniel, MD, MPH can help you with:

Bronchoscopy

Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.

In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:

Brush biopsy, which uses a brush to collect samples.
Endobronchial biopsy, which uses the bronchoscope to guide forceps to sample lung tissue.
Transbronchial biopsy, which uses forceps and image guidance - such as X-rays, CT scans, or fluoroscopy - to sample lung tissue.
Transbronchial fine needle aspiration (TBNA), which uses a small needle to take samples of the lymph nodes or lungs.

For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).

Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.

During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.

CPAP Treatment

Continuous positive airway pressure (CPAP) treatment is a medical treatment for people with sleep apnea. Sleep apnea interrupts breathing during sleep, resulting in lapses of oxygen. Lapses of oxygen may in turn lead to severe headaches, heart problems, fatigue, and poor sleep quality. The CPAP device remedies sleep apnea by forcing open the airway with pressurized air, ensuring someone receives enough oxygen while sleeping. The CPAP device is a mask attached to a machine (with a tube) that takes in air from the surrounding room, filters it, and then pressurizes it. The constant flow of pressurized air treats sleep apnea by keeping the tongue and soft palate from obstructing the throat and airway. Benefits of CPAP treatment include:

Improved concentration and focus
Reduced snoring
Lowered risk of heart disease and stroke
Improved mental health

In order to receive a CPAP device, patients must receive a prescription from a physician. Some patients may be asked to complete an overnight sleep study known as a titration study. A titration study monitors patients' sleep using a mask attached to a CPAP machine. The technician may monitor and adjust the CPAP's air pressure throughout the night. The purpose of a titration study is to determine the appropriate air pressure for patients with obstructive sleep apnea (blocked upper airway). Once an appropriate CPAP pressure is identified, physicians or sleep technicians may recommend a specific brand or style of device to the patient for long-term use.

Sleep Study

A sleep study reveals important insights about a patient's sleep patterns by measuring brain activity, breathing, and movement. There are five types of sleep studies: a polysomnogram, titration sleep study, split night sleep study, multiple sleep latency test, and at-home sleep study. Sleep studies may help identify conditions such as:

Insomnia
Sleep apnea
Restless legs syndrome
Sleep walking
REM sleep behavior disorder
Narcolepsy

The most widely performed sleep test is the traditional polysomnogram (PSG). This test is typically used to determine whether patients have sleep apnea (lapses in breathing while asleep). Polysomnograms are conducted overnight in a specialized sleep clinic or sleep center, where a patient enters the sleep center and is assigned to a room with a bed, medical equipment, and monitoring system. An overnight sleep technician attaches electrodes to the patient's head, chest, and legs. This application process lasts for around an hour. A sleep technician watches and evaluates the patient as they sleep. Objects such as a comfortable pillow from home, toiletries, and small personal items may be helpful in easing patients into sleep in unfamiliar surroundings.

Patients receive their physician-interpreted sleep study results within a few weeks of the test. If sleep apnea is detected, patients may be asked to return for a titration sleep study. A titration study involves the same procedures and electrode placement of a polysomnogram, but also includes a mask attached to a CPAP (continuous positive airway pressure) machine. The CPAP machine brings pressurized air to the patient. The technician may monitor and adjust the CPAP's air pressure throughout the night. The purpose of a titration study is to determine the appropriate air pressure for patients with obstructive sleep apnea (blocked upper airway).

A split night study combines the polysomnogram and titration sleep studies into two sessions on the same night. Split night studies enable patients to complete both studies quickly instead of waiting weeks in between tests and may expedite the interpretation of results and treatment.

Multiple sleep latency test (MSLT) measures how fast someone is able to fall asleep. Unlike other sleep tests, this test is performed during the day. It may take place after an overnight sleep study. The MSLT test monitors napping and potential for daytime sleepiness and exhaustion.

At-home sleep tests are fully conducted by patients in their own homes. Patients attach fewer electrodes, a breathing sensor, a microphone, and a data collection device to themselves and sleep in their own beds. The following morning, patients gather the data collection device and return it to their medical providers. While at-home sleep tests are convenient, they are not recommended for patients with severe sleep problems. At-home sleep tests are less precise than clinical tests and do not measure brain activity.

Sleep studies are essential to helping patients receive accurate sleep disorder diagnoses and proper treatment. A sleep study can be the first step towards higher quality sleep and physical health.

In The News

“# 3,798 square feet of office space at 1660 E. Herndon Ave. in Fresno from Frederick Richburg, M.D. to Kuldeep Gill, M.D., Lovrdu Pyreddy, M.D., and Vijai Daniel, M.D. Phil Souza, Jeremy Reed and...”—"COMMERCIAL LEASES / DEVELOPMENTS", Fresno Bee, May 2015

catheterization	25
doctor visit	186
hospital care	547
inpatient care	547

**Gender**
Male	173
Female	182

**Ethnicity**
Non-Hispanic White	132
Black	85
Hispanic	120
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	130
From 75 to 84	96
85 and over	39
Less than 65	90

Hypertension	75
High Cholesterol	60
Stroke	12
Ischemic Heart Disease	61
Depression	31
Chronic Kidney Disease	61
Asthma	35
Osteoperosis	12
Atrial Fibrilation	14
Heart Failure	57
Chronic Obstructive Pulmonary Disease	45
Diabetes	59
Dementia	27
Cancer	12

catheterization	38
doctor visit	479
hospital care	523
inpatient care	523
sleep study	8
tracheal (windpipe) procedures	10

**Gender**
Male	216
Female	260

**Ethnicity**
Non-Hispanic White	327
Black	0
Hispanic	103
Asian	23
Other	0
Native American	0

**Age**
From 65 to 74	178
From 75 to 84	151
85 and over	66
Less than 65	81

Hypertension	75
High Cholesterol	63
Stroke	9
Ischemic Heart Disease	57
Depression	25
Chronic Kidney Disease	49
Asthma	31
Osteoperosis	14
Atrial Fibrilation	23
Heart Failure	51
Chronic Obstructive Pulmonary Disease	47
Diabetes	44
Dementia	17
Cancer	14

bronchoscopy	64
catheterization	14
diagnostic procedures	16
doctor visit	893
hospital care	435
inpatient care	435
minimally invasive procedures	36
pulmonary testing	78
sleep study	8

**Gender**
Male	582
Female	762

**Ethnicity**
Non-Hispanic White	860
Black	66
Hispanic	318
Asian	72
Other	0
Native American	0

**Age**
From 65 to 74	518
From 75 to 84	406
85 and over	202
Less than 65	218

Hypertension	75
High Cholesterol	65
Stroke	9
Ischemic Heart Disease	58
Depression	24
Chronic Kidney Disease	48
Asthma	43
Osteoperosis	15
Atrial Fibrilation	18
Heart Failure	51
Chronic Obstructive Pulmonary Disease	50
Diabetes	46
Dementia	19
Cancer	18

bronchoscopy	54
catheterization	42
diagnostic procedures	13
doctor visit	869
hospital care	457
inpatient care	457
minimally invasive procedures	34
pulmonary testing	81
tracheal (windpipe) procedures	26

**Gender**
Male	303
Female	367

**Ethnicity**
Non-Hispanic White	439
Black	27
Hispanic	151
Asian	41
Other	0
Native American	0

**Age**
From 65 to 74	261
From 75 to 84	208
85 and over	97
Less than 65	104

Hypertension	75
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	54
Depression	24
Chronic Kidney Disease	53
Asthma	57
Osteoperosis	14
Atrial Fibrilation	19
Heart Failure	50
Chronic Obstructive Pulmonary Disease	49
Diabetes	47
Dementia	16
Cancer	15

bronchoscopy	19
catheterization	25
doctor visit	851
hospital care	441
inpatient care	441
minimally invasive procedures	20
pulmonary testing	71
tracheal (windpipe) procedures	11

**Gender**
Male	350
Female	402

**Ethnicity**
Non-Hispanic White	492
Black	25
Hispanic	170
Asian	51
Other	0
Native American	0

**Age**
From 65 to 74	304
From 75 to 84	218
85 and over	119
Less than 65	111

Hypertension	75
High Cholesterol	60
Stroke	8
Ischemic Heart Disease	59
Depression	25
Chronic Kidney Disease	59
Asthma	22
Osteoperosis	14
Atrial Fibrilation	19
Heart Failure	53
Chronic Obstructive Pulmonary Disease	51
Diabetes	44
Dementia	18
Cancer	16

bronchoscopy	20
catheterization	39
doctor visit	803
hospital care	319
inpatient care	319
minimally invasive procedures	21
pulmonary testing	179
sleep study	9
tracheal (windpipe) procedures	21

**Gender**
Male	354
Female	391

**Ethnicity**
Non-Hispanic White	495
Black	31
Hispanic	150
Asian	50
Other	0
Native American	0

**Age**
From 65 to 74	293
From 75 to 84	226
85 and over	113
Less than 65	113

Hypertension	75
High Cholesterol	69
Stroke	10
Ischemic Heart Disease	60
Depression	27
Chronic Kidney Disease	64
Asthma	23
Osteoperosis	14
Atrial Fibrilation	19
Heart Failure	51
Chronic Obstructive Pulmonary Disease	49
Diabetes	49
Dementia	18
Cancer	19

airway management	37
bronchoscopy	12
catheterization	27
doctor visit	1168
hospital care	279
inpatient care	279
minimally invasive procedures	13
pulmonary testing	189
sleep study	79
tracheal (windpipe) procedures	16

**Gender**
Male	361
Female	439

**Ethnicity**
Non-Hispanic White	533
Black	36
Hispanic	162
Asian	48
Other	0
Native American	0

**Age**
From 65 to 74	316
From 75 to 84	264
85 and over	107
Less than 65	113

Hypertension	75
High Cholesterol	71
Stroke	6
Ischemic Heart Disease	59
Depression	25
Chronic Kidney Disease	58
Asthma	26
Osteoperosis	14
Atrial Fibrilation	18
Heart Failure	51
Chronic Obstructive Pulmonary Disease	47
Diabetes	50
Dementia	16
Cancer	16

catheterization	18
doctor visit	918
hospital care	394
inpatient care	394
pulmonary testing	31
sleep study	46

**Gender**
Male	348
Female	382

**Ethnicity**
Non-Hispanic White	452
Black	39
Hispanic	179
Asian	38
Other	0
Native American	0

**Age**
From 65 to 74	311
From 75 to 84	247
85 and over	93
Less than 65	79

Hypertension	75
High Cholesterol	71
Stroke	7
Ischemic Heart Disease	57
Depression	26
Chronic Kidney Disease	58
Asthma	25
Osteoperosis	12
Atrial Fibrilation	16
Heart Failure	49
Chronic Obstructive Pulmonary Disease	48
Diabetes	50
Dementia	18
Cancer	14

airway management	54
bronchoscopy	17
catheterization	10
doctor visit	2126
hospital care	631
inpatient care	631
minimally invasive procedures	18
pulmonary testing	416
sleep study	166
tracheal (windpipe) procedures	12

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Vijai Joseph Daniel, MD, MPH for Medicare patients.

The highest averages for the top procedures that Dr. Vijai Joseph Daniel, MD, MPH treated as a pulmonologist in Martinez, CA were hospital care, inpatient care, pulmonary testing and sleep study.

airway management	45
bronchoscopy	32
catheterization	28
diagnostic procedures	14
doctor visit	922
hospital care	447
inpatient care	447
minimally invasive procedures	24
pulmonary testing	149
sleep study	54
tracheal (windpipe) procedures	16

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH.

**Gender**
Male	268
Female	318

**Ethnicity**
Black / African American	30
Asian / Pacific Islander	32
Non-Hispanic White	373
Native American / Alaskan Native	0
Hispanic	135
Other	0

**Age**
85 and over	83
75 to 84	181
Less than 65	90
65 to 74	231

Average of Total of Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Vijai Joseph Daniel, MD, MPH treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	52
Stroke	7
Ischemic Heart Disease	46
Depression	20
Chronic Kidney Disease	45
Asthma	26
Osteoporosis	10
Heart Failure	41
Chronic Obstructive Pulmonary Disease	38
Diabetes	38
Atrial Fibrillation	14
Dementia	14
Cancer	12

Education & Training

He completed residency at Bronx-Lebanon Hospital Center. He is certified by the Pulmonary Disease, Pulmonary Disease American Board of Internal Medicine Subspecialty and has a state license in California.

Residency: Bronx-Lebanon Hospital Center (2005)

Board Certification: Pulmonary Disease, Pulmonary Disease American Board of Internal Medicine Subspecialty (2007)

Licensed In: California

Affiliations & Hospitals

Dr. Vijai Joseph Daniel, MD, MPH is associated with these hospitals and organizations:

Saint Agnes Medical Center

U.S. Department of Veterans Affairs

ARYA MEDICAL GROUP CORP

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Vijai Joseph Daniel, MD, MPH. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
GlaxoSmithKline, LLC.	$330,714 TRELEGY ELLIPTA $94,913	NUCALA $47,472	AREXVY $41,159	ANORO ELLIPTA $30,948	ANORO $24,913	Other $91,308
AstraZeneca Pharmaceuticals LP	$6,887 SYMBICORT $889	FASENRA $549	BREZTRI $265	BEVESPI AEROSPHERE $196	DALIRESP $116	Other $4,871
Boehringer Ingelheim Pharmaceuticals, Inc.	$1,052 OFEV $489	SPIRIVA RESPIMAT $276	STIOLTO $147	STIOLTO RESPIMAT $120	COMBIVENT RESPIMAT $17	Other $3
Genentech USA, Inc.	$768 Esbriet $493	XOLAIR $14	$262
Actelion Pharmaceuticals US, Inc.	$502 UPTRAVI $276	OPSUMIT $209	OPSUMIT MACITENTAN $17
Other	$6,929 Letairis $469	AVYCAZ $439	Adempas $347	DUPIXENT $298	The Vest System Model 105 Home Care $286	Other $5,088

**Types of Payments**
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program	$275,750
Travel and Lodging	$40,010
Food and Beverage	$19,166
Consulting Fee	$11,150
Education	$776

Biography

Dr. Vijai Daniel is a physician who specializes in adult critical care and adult pulmonology. These areas are among his clinical interests: sleep study, coronary angiogram, and bronchoscopy. Dr. Daniel's medical residency was performed at Bronx-Lebanon Hospital Center. Dr. Daniel (or staff) speaks Telugu, Kannada, and Tamil. He is professionally affiliated with Saint Agnes Medical Center and U.S. Department of Veterans Affairs.

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Dr. Vijai Joseph Daniel, MD, MPH

Office Locations

Some issues Dr. Vijai Joseph Daniel, MD, MPH can help you with:

In The News

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Vijai Joseph Daniel, MD, MPH From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

Other Providers in Martinez, CA