Active NPI
Holly Dasghaib, MD
- Anatomic Pathology & Clinical Pathology Physician
- Del Mar, CA
National Provider Identifier
1003876038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G65488
- Practice address
- 13514 Calais Dr
Del Mar, CA 92014-3526 - Phone
- (626) 695-2426
- NPI assigned
- Mar 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | G65488 | CA | |
| Hematology (Pathology) Physician | 207ZH0000X | G65488 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G65488 | CA | Primary |
Addresses
Primary practice location
13514 Calais Dr
Del Mar, CA 92014-3526
Mailing address
13514 Calais Dr
Del Mar, CA 92014-3526
Phone (626) 695-2426
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G654880 | Medicaid | CA |
Other names 1
- Holly Yamada
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65488 | CA | MD | Pharmacist |
| G65488 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Vita Corporation | Cytopathology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G654880",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "YAMADA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Del Mar, CA
Sources for this page
- 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.