Active NPI
Decerie Baculi Dayag, MD
- Internal Medicine Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A169662
- Practice address
- 811 E 11TH St Ste 208
Upland, CA 91786-4872 - Phone
- (909) 985-0883
- Fax
- (909) 985-5762
- NPI assigned
- Jul 4, 2017
- Last updated
- Dec 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A169662 | CA | Primary |
Addresses
Primary practice location
811 E 11TH St Ste 208
Upland, CA 91786-4872
Mailing address
16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242
Phone (909) 823-8000
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
16854 Ivy Ave
Suite a
Fontana, CA 92335-1504
2855 Foothill Blvd Unit
G204
LA Verne, CA 91750-3175
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169662 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Namita Mohideen MD Inc | Multi-Specialty | Current | Accepting new patients |
| Golden State Primary Care Inc | Multi-Specialty | Past | Accepting new patients |
Locations
16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000
16854 Ivy Ave
Ste A
Fontana, CA 92335
Phone (909) 791-1000
811 E 11th St
Ste 208
Upland, CA 91786
Phone (909) 629-5540
15237 Eleventh St
Ste C
Victorville, CA 92395
Phone (760) 493-9300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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": "1499126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766016000000",
"number": "1336660901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16465 SIERRA LAKES PKWY STE 115",
"city": "FONTANA",
"state": "CA",
"postal_code": "923361242",
"telephone_number": "909-823-8000",
"fax_number": "909-823-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E 11TH ST STE 208",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864872",
"telephone_number": "909-985-0883",
"fax_number": "909-985-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYAG",
"first_name": "DECERIE",
"middle_name": "BACULI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-04",
"last_updated": "2025-12-18",
"certification_date": "2025-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A169662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.