Dale Tugonon Ello, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95000535 Issued in CA

Practice address

8027 Highway 111
Niland, CA 92257-2630

Phone

(760) 359-0110

Fax

(760) 359-3629

NPI assigned

Mar 3, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dale.ello.p1@direct.cdsdp.nextgenshare.com

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.

• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment NPD
• Merced Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Merced, CA
  • NPI 1730431875
  Medicare reassignment NPD
• Clinicas de Salud del Pueblo Inc.

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • Niland, CA
  • NPI 1679654750
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1487741773
  NPD (past)
• Clinicas de Salud del Pueblo, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winterhaven, CA
  • NPI 1124109202
  NPD (past)

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1215329099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2712 PEACH DRIVE",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "75068",
            "telephone_number": "214-618-1804",
            "fax_number": "214-618-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 HIGHWAY 111",
            "city": "NILAND",
            "state": "CA",
            "postal_code": "922572630",
            "telephone_number": "760-359-0110",
            "fax_number": "760-359-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2712 Peach Drive",
            "address_purpose": "LOCATION",
            "city": "Little Elm",
            "state": "TX",
            "postal_code": "75068",
            "country_code": "US",
            "telephone_number": "214-618-1804",
            "fax_number": "214-618-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLO",
        "first_name": "DALE",
        "middle_name": "TUGONON",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "719953",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinicas de Salud del Pueblo, Inc
• Alfredo Miguel Diaz Navarrete
• Lisa Marie Fertman
• Angela Martinez
• Niland

• Family Nurse Practitioner in Niland, CA
• Providers in Niland, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.