Active NPI
Dalilah Restrepo MD, a Medical Corporation
- Infectious Disease Physician
- Fountain Valley, CA
National Provider Identifier
1013677624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- DALILAH RESTREPO MD, A MEDICAL CORPORATION
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708 - Phone
- (917) 376-0967
- NPI assigned
- Dec 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dalilah Restrepo, MD
- Title
- President
- Phone
- (917) 376-0967
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708
Mailing address
3334 E Coast Hwy Ste 655
Corona del Mar, CA 92625-2328
Phone (917) 376-0967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3334 Pacific Coast Hwy
Corona del Mar, CA 92625
Phone (949) 631-4890
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Fountain Valley, CA
- NPI 1396816393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1013677624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 E COAST HWY STE 655",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926252328",
"telephone_number": "917-376-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "917-376-0967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DALILAH RESTREPO MD, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-22",
"last_updated": "2021-12-22",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "RESTREPO",
"authorized_official_first_name": "DALILAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-376-0967",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.