Individual provider Active NPI

Danielle Lotus Dullinger, P.A.

  • Physician Assistant
  • Murrieta, CA
National Provider Identifier
1053542837
Registry record updated Jul 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19579 Issued in CA
Practice address
25500 Medical Center Dr
Murrieta, CA 92562-5965
Phone
(951) 696-6000
NPI assigned
Jul 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19579 CA Primary

Addresses

Primary practice location

25500 Medical Center Dr
Murrieta, CA 92562-5965

Mailing address

3156 Vista Way
Suite 405
Oceanside, CA 92056-3622
Phone (760) 439-6581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190115003064 NV Practitioner - Physician Assistant 2466598073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carson Tahoe Regional HealthcareGroup PAC ID 1759284862, 20 clinicians

Practice addresses (Care Compare)

1201 S Carson St
Carson City, NV 89701-5225
Phone (775) 445-7330

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000

901 Medical Ctr Dr
Dayton, NV 89403-7458
Phone (775) 445-7210

925 Ironwood Dr
Minden, NV 89423-5178
Phone (775) 445-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19579CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Regional Healthcare CurrentSince Aug 8, 2022 Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

1201 S Carson St
Ste 200
Carson City, NV 89701

Interoperability endpoints

  • Direct secure messaging: danielle.dullingerpac.p1@direct.smmg.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1053542837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 VISTA WAY",
            "address_2": "SUITE 405",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563622",
            "telephone_number": "760-439-6581",
            "fax_number": "760-439-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEDICAL CENTER DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625965",
            "telephone_number": "951-696-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULLINGER",
        "first_name": "DANIELLE",
        "middle_name": "LOTUS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA19579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.