Individual provider Active NPI

Marita G Dailo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1326053174
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
16172 Issued in CA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000466 CA Practitioner - Nurse Practitioner 7719055953 Reassigns benefits to 3 organizations

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
Sokyahealth Medical Group PCGroup PAC ID 8628463015, 180 clinicians

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

LicenseStateTypeSpecialty
625093CAMDRegistered Nurse
16172CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince May 4, 2016 Accepting new patients
Mellow Medical Inc a Professional Corporation CurrentSince Feb 18, 2019 Accepting new patients
Telecare Corporation CurrentSince May 4, 2016 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 CurrentSince Jul 26, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/9357/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.