Individual provider Active NPI

Festus B. Dada, M.D.

  • Surgery Physician
  • Murrieta, CA
National Provider Identifier
1184632606
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A40801 Issued in CA
Practice address
25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900
Phone
(951) 973-7290
Fax
(951) 973-7299
NPI assigned
Aug 3, 2006
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A40801 CA Primary

Addresses

Primary practice location

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900

Mailing address

25470 Medical Center Dr
Suite 203
Murrieta, CA 92562-4900
Phone (951) 973-7290

Other practice location 1

2250 S Main St Ste 209
Corona, CA 92882-2507
Phone (951) 736-0696

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071113000746 CA Practitioner - General Surgery 3870570039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25495 Medical Ctr Dr
Suite 302
Murrieta, CA 92562-4904
Phone (951) 973-7290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Anesthesia Medical Group PastSince Jun 9, 2009 Accepting new patients
Temecula Valley Radiation Oncology Med Group PastSince Apr 26, 2010 Accepting new patients
St Luke Cardiovascular Medical Group PastSince Jan 1, 2008 Accepting new patients
West Gastroenterology Medical Group Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1184632606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7290",
            "fax_number": "951-973-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25470 MEDICAL CENTER DR",
            "address_2": "SUITE 203",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925624900",
            "telephone_number": "951-973-7290",
            "fax_number": "951-973-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 S Main St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928822507",
            "country_code": "US",
            "telephone_number": "951-736-0696",
            "fax_number": "951-973-7299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DADA",
        "first_name": "FESTUS",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A40801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.