Individual provider Active NPI

Dara Ennis Mendelsohn, M.D.

  • Emergency Medicine Physician
  • Oakland, CA
National Provider Identifier
1487072161
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A139976 Issued in CA
Practice address
1411 E 31St St
Emergency Medicine - Highland Campus
Oakland, CA 94602-1018
Phone
(585) 236-3437
NPI assigned
Mar 31, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A139976 CA Primary

Addresses

Primary practice location

1411 E 31St St
Emergency Medicine - Highland Campus
Oakland, CA 94602-1018

Mailing address

1411 E 31St St
Emergency Medicine - Highland Campus
Oakland, CA 94602-1018
Phone (585) 236-3437

Other practice location 1

2025 Soquel Ave
Santa Cruz, CA 95062-1323
Phone (831) 458-5537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170113001382 CA Practitioner - Emergency Medicine 4183906860 Reassigns benefits to 4 organizations
I20201006002642 TX Practitioner - Emergency Medicine 4183906860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Rochester School of Medicine and Dentistry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

1555 Soquel Dr
Santa Cruz, CA 95065-1705
Phone (831) 462-7700

Hospital & facility affiliations

  • Watsonville Community Hospital Hospital, Watsonville, CA, CCN 050194

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139976CAMDMarriage & Family Therapist
A139976CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 18, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Dec 4, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Dec 4, 2023 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Nov 18, 2017 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Sep 14, 2020 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 1, 2021 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients

Locations (25 of 39)

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

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

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

Interoperability endpoints

  • Direct secure messaging: dmendelsohn366516@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1487072161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "address_2": "EMERGENCY MEDICINE - HIGHLAND CAMPUS",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "585-236-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 E 31ST ST",
            "address_2": "EMERGENCY MEDICINE - HIGHLAND CAMPUS",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021018",
            "telephone_number": "585-236-3437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 Soquel Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950621323",
            "country_code": "US",
            "telephone_number": "831-458-5537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "DARA",
        "middle_name": "ENNIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A139976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.