Elizabeth Anne Dahl, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57546 Issued in CA

Practice address

501 Lighthouse Ave
Monterey, CA 93940-1439

Phone

(831) 649-0770

Fax

(831) 649-0142

NPI assigned

Aug 1, 2013

Last updated

Dec 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Marina Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Marina, CA
  • NPI 1457793275
  NPD (past)
• Monterey Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Monterey, CA
  • NPI 1710329537
  NPD (past)
• Salinas Doctors on Duty

  • Non-Pharmacy Dispensing Site
  • Salinas, CA
  • NPI 1235561432
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1346672250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401439",
            "telephone_number": "831-649-0770",
            "fax_number": "831-649-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LIGHTHOUSE AVE",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939401439",
            "telephone_number": "831-649-0770",
            "fax_number": "831-649-0142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012260",
            "country_code": "US",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4092 Foxwood Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234625225",
            "country_code": "US",
            "telephone_number": "757-467-4200",
            "fax_number": "757-467-4173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHL",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-004329",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Cushing, M.D.
• Jennifer Marie Cuzzolina, P.T.
• Jennifer D'Attilio, M.S., CCC-SLP
• Joshua D'Cruz, PT, DPT
• Anna Dabrowski
• Mary E Dahl, MD
• Olivia Dahl
• Ashley Amber Dahlem
• Jenna Lily Dahlquist, MHS
• Daphne Deborah Dahms, D.O.

• Physician Assistant in Monterey, CA
• Providers in Monterey, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.