Dalia Al-Mudallal, M.D.
Individual provider Active NPI Gastroenterology Physician · Laguna Hills, CA
NPI 1356502116 · NPPES record last updated Oct 16, 2025
Key facts
- NPI
- 1356502116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- A131849 (CA)
- Practice address
- 24411 Health Center Dr Ste 430
Laguna Hills, CA 92653-3633 - Phone
- (949) 452-3933
- Fax
- (949) 458-1291
- NPI assigned
- Jun 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Gastroenterology
- Education
- Georgetown University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellmont Medical Associates Inc
United Medical Doctors
Practice addresses (Care Compare)
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412
16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200
18111 Brookhurst St
Suite 5200
Fountain Valley, CA 92708-6728
Phone (714) 962-7705
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.91 of 100
- Quality
- 92.86
- Promoting interoperability
- 94.93
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 18 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, VA, TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160404002332 | CA | Practitioner - Gastroenterology |
2961709092 | Reassigns benefits to 2 organizations |
| I20240604002649 | VA | Practitioner - Gastroenterology | 2961709092 | Reassigns benefits to 1 organization |
| I20251009000001 | TN | Practitioner - Gastroenterology | 2961709092 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A131849 | CA | MD | Gastroenterology Physician |
| 73892 | TN | MD | Gastroenterology Physician |
| 0101248509 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Doctors | Gastroenterology | Current |
Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Yuma Regional Medical Center | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Openloop Healthcare Partners California PC | Current |
Accepting new patients | |
| Yuma Regional Medical Center | Internal Medicine | Current |
Accepting new patients |
| Basim Z. Abdelkarim, M.D., Inc. | Gastroenterology | Current |
Accepting new patients |
| United Medical Doctors | Current |
Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Openloop Healthcare Partners California PC | Current |
Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Takoma Hospital & Sanitarium Training School, Inc. | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Locations
1390 W 16th St
Yuma, AZ 85364
Phone (928) 344-4325
2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100
2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191
2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937
521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560
18111 Brookhurst St
#5200
Fountain Valley, CA 92708
Phone (714) 962-7705
24411 Health Center Dr
Ste 430
Laguna Hills, CA 92653
Phone (949) 452-3933
818 W 7th St
Los Angeles, CA 90017
Phone (949) 694-4937
818 W 7th St
Ste A
Los Angeles, CA 90017
28078 Baxter Rd
Ste 530
Murrieta, CA 92563
Phone (951) 290-5472
400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398
72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
71935 Highway 111
Rancho Mirage, CA 92270
Phone (949) 694-4937
1310 San Bernardino Rd
Ste 103
Upland, CA 91786
Phone (909) 920-0444
317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
16000 Johnston Memorial Dr
Abingdon, VA 24211
Phone (276) 258-1000
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
Interoperability endpoints
- https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4
- dalmudallal529861@balladhealth.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A131849 | CA | Yes |
| Gastroenterology Physician | 207RG0100X | 0101248509 | VA | |
| Internal Medicine Physician | 207R00000X | 73892 | TN | |
| Gastroenterology Physician | 207RG0100X | 76377 | AZ | |
| Internal Medicine Physician | 207R00000X | 0101248509 | VA | |
| Gastroenterology Physician | 207RG0100X | 73892 | TN |
Addresses
Primary practice location
24411 Health Center Dr Ste 430
Laguna Hills, CA 92653-3633
Mailing address
14252 Culver Dr # A338
Irvine, CA 92604-0317
Phone (310) 721-7217
Other practice location 1
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 2
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-6370
Other practice location 3
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-4000
Other practice location 4
1390 W 16th St
Yuma, AZ 85364-4430
Phone (928) 344-4325
Other practice location 5
850 Enterprise Pkwy Ste 2000
Hampton, VA 23666-6252
Phone (757) 599-6333
Other practice location 6
16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1880
Other names
- Dr. Dalia Ibrahim
Other providers in Laguna Hills, CA
- Al Manesh DMD Inc
- Al-Abdulla DDS Inc
- Angham Al-Abdulla
- Rachelle Al-Kazzi
- Amjad Al-Khawaldeh
- Aladino Razo Psychiatric PC
- Nili N. Alai
- Gamiel Alamares
- Christina Alba
- Nicole Ayn Albie
All providers in Laguna Hills, CA · Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.