Individual provider Active NPI

Nahlla Dolle, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1427128354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50630 Issued in CA
Practice address
1820 Fullerton Ave Ste 140
Corona, CA 92881-3100
Phone
(951) 549-0900
Fax
(951) 278-8552
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50630 CA Primary

Addresses

Primary practice location

1820 Fullerton Ave Ste 140
Corona, CA 92881-3100

Mailing address

2800 E Riverside Dr Apt 318
Ontario, CA 91761-7488
Phone (909) 947-6320

Other identifiers 1

IdentifierTypeStateIssuer
4321568OtherCAECFMG

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622000364 CA Practitioner - Internal Medicine 9931490984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50630CAMDMarriage & Family Therapist
A50630CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Partners CurrentSince Mar 1, 2022 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Merced Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Mar 24, 2018 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Naser W. Azar, M.D., Inc., Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427128354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E RIVERSIDE DR APT 318",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617488",
            "telephone_number": "909-947-6320",
            "fax_number": "909-319-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 FULLERTON AVE STE 140",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813100",
            "telephone_number": "951-549-0900",
            "fax_number": "951-278-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLE",
        "first_name": "NAHLLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "4321568",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.