NPIMap

Individual provider Active NPI

Nadim Dagher, M.D

  • Specialist
  • Westminster, CA
National Provider Identifier
1053531467
Registry record updated Apr 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A98565 Issued in CA
Practice address
13950 Milton Ave
404
Westminster, CA 92683-2900
Phone
(714) 895-7944
Fax
(714) 890-5530
NPI assigned
Apr 26, 2007
Last updated
Apr 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A98565 CA Primary

Addresses

Primary practice location

13950 Milton Ave
404
Westminster, CA 92683-2900

Mailing address

13950 Milton Ave
404
Westminster, CA 92683-2900
Phone (714) 895-7944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000633 CA Practitioner - Internal Medicine 8527156561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

376 W Badillo St
Covina, CA 91723-1827
Phone (626) 332-1175

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5020AKMDDermatology Physician
1183SDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dagher MD Medical Group Inc CurrentSince May 28, 2010 Accepting new patients
Dagher MD Medical Group Inc Current Accepting new patients
Emanate Health Medical Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

376 W Badillo St
Covina, CA 91723
Phone (626) 332-1175

630 N 13th Ave
Ste E
Upland, CA 91786
Phone (909) 946-6676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nadim.dagher@1011518881464324.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
DSP Home Health, Inc.West Covina, CA, CCN 058053 Home health agency Contracted Managing Employee Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270166400000",
    "number": "1053531467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 MILTON AVE",
            "address_2": "404",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832900",
            "telephone_number": "714-895-7944",
            "fax_number": "714-890-5530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 MILTON AVE",
            "address_2": "404",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832900",
            "telephone_number": "714-895-7944",
            "fax_number": "714-890-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGHER",
        "first_name": "NADIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A98565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.