Dawit Mamo, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54482 Issued in CA

Practice address

16070 Tuscola Rd
Suite 101
Apple Valley, CA 92307-1320

Phone

(760) 242-4000

Fax

(760) 242-5250

NPI assigned

Aug 11, 2006

Last updated

Oct 9, 2008By the provider in NPPES

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

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Family Practice

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanura Home Health Services, Inc Home health agency, Rancho Cucamonga, CA, CCN 058181

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawitmamo@corwinuc.allscriptsdirect.net

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.

• Corwin Urgent Care Center

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1386768448
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vanura Homehealth Services Inc

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1750336525
  Care Compare affiliation

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1346251568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3800",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070074",
            "telephone_number": "760-242-4000",
            "fax_number": "760-242-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16070 TUSCOLA RD",
            "address_2": "SUITE 101",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071320",
            "telephone_number": "760-242-4000",
            "fax_number": "760-242-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMO",
        "first_name": "DAWIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54482",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makala N. Reddy
• Bruce Gene Malcolm, LMFT
• Ashish Malhotra, M.D.
• Ashwini Mallad, MD
• Joseph Anthony Maloney, M.D.
• Arnold Mansat
• Romella Dizon Mansat
• Jessica Margaret Marfia, MS,OTR/L
• Mariam Amiri (Loma Linda Foot and Ankle Center)
• Marifi Maghari Pipkin,DDS,Inc. (Pipkin Dental)

• Internal Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.

Verify at the official NPI Registry.