Active NPI
Dayna Van Dooren, PA-C
- Physician Assistant
- Coronado, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60286
- Practice address
- 230 Prospect PL Ste 340B
Coronado, CA 92118-1991 - Phone
- (619) 522-4000
- NPI assigned
- Dec 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 60286 | CA | Primary |
Addresses
Primary practice location
230 Prospect PL Ste 340B
Coronado, CA 92118-1991
Mailing address
PO Box 33383
San Diego, CA 92163-3383
Phone (360) 927-0064
Other practice location 1
2437 Fenton St Ste A
Chula Vista, CA 91914-3517
Phone (619) 397-0866
Other practice location 2
7930 Frost St Ste 104
San Diego, CA 92123-4294
Phone (858) 223-2510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Temple University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
230 Prospect PL
Suite 340B
Coronado, CA 92118-1976
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Healthcare | Past | Accepting new patients |
Interoperability endpoints
- dvandooren20544@sharphealthcare.direct-ci.com
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1477763035
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1396728630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1205596590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33383",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633383",
"telephone_number": "360-927-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 PROSPECT PL STE 340B",
"city": "CORONADO",
"state": "CA",
"postal_code": "921181991",
"telephone_number": "619-522-4000"
}
],
"practiceLocations": [
{
"address_1": "2437 Fenton St Ste A",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919143517",
"country_code": "US",
"telephone_number": "619-397-0866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7930 Frost St Ste 104",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234294",
"country_code": "US",
"telephone_number": "858-223-2510",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAN DOOREN",
"first_name": "DAYNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "60286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coronado, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.