NPIMap

Individual provider Active NPI

Kai Dallas, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Lancaster, CA
National Provider Identifier
1245674480
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
A131901 Issued in CA
Practice address
44151 15TH St W Ste 101
Lancaster, CA 93534-4079
Phone
(661) 902-5600
Fax
(661) 951-0686
NPI assigned
Apr 18, 2013
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A131901 CA
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X A131901 CA Primary

Addresses

Primary practice location

44151 15TH St W Ste 101
Lancaster, CA 93534-4079

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185

Other practice location 1

23823 Valencia Blvd Ste 250
Santa Clarita, CA 91355-9512
Phone (661) 799-1999

Other practice location 2

38660 Medical Center Dr Ste A380
Palmdale, CA 93551-4385
Phone (661) 902-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com Direct CITY OF HOPE MEDICAL FOUNDATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902001505 CA Practitioner - Urology 8325334063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Icahn School of Medicine at Mount Sinai, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

23823 Valencia Blvd
Suite 250
Santa Clarita, CA 91355-9512
Phone (626) 775-3200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A131901CAMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group, Inc. Urology Current Accepting new patients
City of Hope Medical Foundation Urology CurrentSince Jul 25, 2021 Accepting new patients
City of Hope Medical Foundation Urology CurrentSince Jul 5, 2021 Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

44151 15th St W
#101
Lancaster, CA 93534
Phone (661) 902-5600

23823 Valencia Blvd
Ste 250
Santa Clarita, CA 91355
Phone (661) 799-1999

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: kdallas82629@cityofhope.direct-ci.com

Organizations & group practices 10

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 4

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1245674480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44151 15TH ST W STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344079",
            "telephone_number": "661-902-5600",
            "fax_number": "661-951-0686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23823 Valencia Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913559512",
            "country_code": "US",
            "telephone_number": "661-799-1999",
            "fax_number": "626-218-1883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38660 Medical Center Dr Ste A380",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514385",
            "country_code": "US",
            "telephone_number": "661-902-5600",
            "fax_number": "661-243-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "KAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A131901",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A131901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.