Holly Dasghaib, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G65488 Issued in CA

Practice address

13514 Calais Dr
Del Mar, CA 92014-3526

Phone

(626) 695-2426

NPI assigned

Mar 24, 2006

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Holly Yamada Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arbor Vita Corporation

  dba Hemediagnostics, Lab, Inc.

  • Clinical Medical Laboratory
  • Fremont, CA
  • NPI 1821057407

  Cytopathology

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1003876038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13514 CALAIS DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143526",
            "telephone_number": "626-695-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13514 CALAIS DR",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920143526",
            "telephone_number": "626-695-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASGHAIB",
        "first_name": "HOLLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G65488",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "CA",
            "license": "G65488",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G65488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "YAMADA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawna Crescenzo, MSPT, OCS, CPI
• Dana Fillmore, Psy.D., a Professional Psychology Corporation
• John D. Daniels, PH.D.
• Jordan Delight Danly, LMFT
• Samantha Daoud, OD
• Del Mar Dermatology Medical Corp
• Del Mar Hospice LLC
• Del Mar Medical Clinic
• Del Mar Optometric Group
• Del Mar Physical Therapy, Inc

• Anatomic Pathology & Clinical Pathology Physician in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.