Active NPI
Marita G Dailo, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 16172
- Practice address
- 351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137 - Phone
- (858) 279-1223
- NPI assigned
- Jul 30, 2006
- Last updated
- Jun 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 16172 | CA | Primary |
| Registered Nurse | 163W00000X | 625093 | CA |
Addresses
Primary practice location
351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Mailing address
351 Santa Fe Dr Ste 200
Encinitas, CA 92024-5137
Other practice location 1
3350 La Jolla Village Dr
San Diego, CA 92161-0002
Phone (858) 552-8585
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2386 Faraday Ave
Suite 110
Carlsbad, CA 92008-7222
Phone (858) 427-5060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 625093 | CA | MD | Registered Nurse |
| 16172 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients | |
| Mellow Medical Inc a Professional Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Telecare Corporation | Current | Accepting new patients | |
| Kaya Mental Health & Wellness, a Nursing Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Sokyahealth Medical Group PC | Current | Accepting new patients | |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660
2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060
2386 Faraday Ave
Ste 111
Carlsbad, CA 92008
4685 MacArthur Ct
Ste 340
Newport Beach, CA 92660
Phone (949) 424-4544
1660 Hotel Cir N
Ste 314
San Diego, CA 92108
Phone (619) 759-1548
3211 Jefferson St
San Diego, CA 92110
Phone (619) 682-4012
8235 Santa Monica Blvd
Ste 302
West Hollywood, CA 90046
Phone (310) 892-4284
Interoperability endpoints
- https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
- marita.dailo.p1@direct.sokya.nextgenshare.com
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.
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- NPI 1942970330
-
- Psychiatry Physician
- West Hollywood, CA
- NPI 1407275886
-
dba Gateway To Recovery
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1720164882
-
- Psychiatric/Mental Health Nurse Practitioner
- Encinitas, CA
- NPI 1821786161
-
dba Valley Vista Permanent Supportive Housing
- Mental Illness Community Based Residential Treatment Facility
- San Diego, CA
- NPI 1275398935
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Diego, CA
- NPI 1568842847
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1326053174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 SANTA FE DR STE 200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 SANTA FE DR STE 200",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245137",
"telephone_number": "858-279-1223"
}
],
"practiceLocations": [
{
"address_1": "3350 La Jolla Village Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921610002",
"country_code": "US",
"telephone_number": "858-552-8585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAILO",
"first_name": "MARITA",
"middle_name": "G",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "16172",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "625093",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.