Individual provider Active NPI

Chase Dahl

  • Podiatrist
  • Huntington Beach, CA
National Provider Identifier
1053809160
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5769 Issued in CA
Practice address
2100 Main St Ste 150
Huntington Beach, CA 92648-2460
Phone
(888) 499-9303
NPI assigned
Apr 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5769 CA Primary

Addresses

Primary practice location

2100 Main St Ste 150
Huntington Beach, CA 92648-2460

Mailing address

7 Via Cancion
San Clemente, CA 92673-6907
Phone (949) 350-7389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727000644 CA Practitioner - Podiatry 6406259530 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5769CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Medical Center, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Pacific Foot & Ankle Center a Podiatry Corporation Podiatrist CurrentSince May 1, 2022 Accepting new patients
Southern California Medical Center, Inc. Current Accepting new patients
Southern California Medical Center, Inc. CurrentSince Jan 31, 2024 Accepting new patients
Stanley K Mathis DPM Inc Podiatrist CurrentSince Jul 10, 2026 Accepting new patients
Saddleback Memorial Medical Center PastSince May 1, 2022 Accepting new patients

Locations

1325 N Anaheim Blvd
Ste 200
Anaheim, CA 92801
Phone (714) 507-1476

12100 Valley Blvd
Ste 109A
El Monte, CA 91732
Phone (626) 575-7500

12751 Harbor Blvd
Garden Grove, CA 92840
Phone (714) 636-7330

8041 Newman Ave
Huntington Beach, CA 92647
Phone (714) 500-0224

24191 Paseo de Valencia
Ste E
Laguna Woods, CA 92637
Phone (216) 262-6934

9436 Slauson Ave
Pico Rivera, CA 90660
Phone (562) 942-3230

2621 S Bristol St
Ste 209
Santa Ana, CA 92704
Phone (714) 850-1300

2740 S Bristol St
Ste 216
Santa Ana, CA 92704
Phone (714) 540-1924

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1053809160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VIA CANCION",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736907",
            "telephone_number": "949-350-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MAIN ST STE 150",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482460",
            "telephone_number": "888-499-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHL",
        "first_name": "CHASE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.