Individual provider Active NPI

Dayna Van Dooren, PA-C

  • Physician Assistant
  • Coronado, CA
National Provider Identifier
1205596590
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60286 Issued in CA
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

Updated by the provider on Dec 28, 2021

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 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
Green means eligible to order or refer.

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

OrganizationSpecialtyStatusNew patients
Sharp Healthcare Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.