Active NPI
Ayda Dashtaei, D.O.
- Surgery Physician
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20A18093
- Practice address
- 15611 Pomerado Rd Ste 400
Poway, CA 92064-2437 - Phone
- (760) 300-3647
- Fax
- (858) 207-0034
- NPI assigned
- Feb 17, 2015
- Last updated
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | 20A18093 | CA | Primary |
Addresses
Primary practice location
15611 Pomerado Rd Ste 400
Poway, CA 92064-2437
Mailing address
3048 Starry Night Dr
Escondido, CA 92029-4841
Phone (858) 207-8569
Other practice location 1
18310 US Highway 18
Apple Valley, CA 92307-2206
Phone (760) 247-6444
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15611 Pomerado Rd
Poway, CA 92064-2437
Phone (858) 675-3100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 11 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18093 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Arch Health Partners, Inc | Surgery | Current | Accepting new patients |
| St. Mary Medical Center | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505
15611 Pomerado Rd
Ste 107
Poway, CA 92064
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
120 Craven Rd
Ste 201
San Marcos, CA 92078
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- adashtaei1374412@oc.providencedirect.org
- ayda.dashtaei.p1@direct.arch.nextgenshare.com
Organizations & group practices 6
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.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
Surgery
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence St. Mary Medical Center
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1497146120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 STARRY NIGHT DR",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294841",
"telephone_number": "858-207-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15611 POMERADO RD STE 400",
"city": "POWAY",
"state": "CA",
"postal_code": "920642437",
"telephone_number": "760-300-3647",
"fax_number": "858-207-0034"
}
],
"practiceLocations": [
{
"address_1": "18310 US Highway 18",
"address_purpose": "LOCATION",
"city": "Apple Valley",
"state": "CA",
"postal_code": "923072206",
"country_code": "US",
"telephone_number": "760-247-6444",
"fax_number": "760-247-6559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASHTAEI",
"first_name": "AYDA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "20A18093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
- Michael Dalton, DDS
- Tracy Daly, MS, RD
- Ashley Daneker
- Daniel Strub, MD, Inc.
- Darius a Schneider MD Apc (Diabetes and Endocrine Specialists)
- David I Bloomberg,OD, a Professional Corporation (Poway Vision Care)
- David I Bloomberg,OD, a Professional Corporation
- David I Bloomberg,OD,a Professional Corporation (Poway Vision Care)
- Lisa Anita Davidson, PH.D.
- Luke Davidson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; 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.