Individual provider Active NPI

Dalia M Zaky Dawoud, MD

  • Nephrology Physician
  • Riverside, CA
National Provider Identifier
1508026386
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A156680 Issued in CA
Practice address
3660 Park Sierra Dr
Ste 208
Riverside, CA 92505-3071
Phone
(909) 882-9150
Fax
(951) 883-8972
NPI assigned
Jun 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A156680 CA Primary

Addresses

Primary practice location

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505-3071

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

Other practice location 1

4100 Latham St Ste A
Riverside, CA 92501-1733
Phone (951) 248-1291

Other practice location 2

16506 Lakewood Blvd Ste 200
Bellflower, CA 90706-5165
Phone (562) 888-8961

Other names 1

  • Dalia M Dawoud Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130801000915 OH Practitioner - Internal Medicine 5395907331 Reassigns benefits to 1 organization
I20190906001353 CA Practitioner - NephrologyPractitioner - Internal Medicine 5395907331 Reassigns benefits to 3 organizations
I20210827001165 TX Practitioner - Internal MedicinePractitioner - Nephrology 5395907331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside-San Bernardino County Indian Health IncGroup PAC ID 4789867805, 46 clinicians
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians
Dalia Dawoud MD IncGroup PAC ID 7012370265, 19 clinicians

Practice addresses (Care Compare)

11555 /2 Potrero Rd
Banning, CA 92220-6946
Phone (951) 849-4761

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172
Phone (909) 864-1097

3660 Park Sierra Dr
Suite 208
Riverside, CA 92505-3071
Phone (951) 687-2800

4200 Chino Hills Pkwy
Suite 800
Chino Hills, CA 91709-3785
Phone (909) 606-6559

Hospital & facility affiliations

  • DaVita Riverside Dialysis Center Dialysis facility, Riverside, CA, CCN 052532
  • DaVita Magnolia West Dialysis Dialysis facility, Riverside, CA, CCN 552553
  • Riverside Community Hospital Hospital, Riverside, CA, CCN 050022
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16217NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince May 4, 2021 Accepting new patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Aug 19, 2019 Accepting new patients
Dalia Dawoud MD Inc Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince May 4, 2021 Accepting new patients
Dalia Dawoud MD Inc Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Dalia Dawoud MD Inc CurrentSince Jun 1, 2023 Accepting new patients
Rattner Vascular Medical Center ASC LLC Current Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince May 1, 2021 Accepting new patients
Coastal Heart, Inc CurrentSince Oct 15, 2021 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

11760 Central Ave
Ste 204
Chino, CA 91710
Phone (909) 632-1225

4200 Chino Hills Pkwy
Ste 800
Chino Hills, CA 91709
Phone (909) 606-6559

2790 Cabot Dr
Ste 145
Corona, CA 92883
Phone (951) 603-3030

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

30465 Avenida de las Flores
Ste A
Rancho Santa Margarita, CA 92688
Phone (949) 264-6001

4100 Latham St
Ste A
Riverside, CA 92501
Phone (951) 248-1291

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

4334 Central Ave
Riverside, CA 92506
Phone (951) 248-1291

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

2621 S Bristol St
Ste 108
Santa Ana, CA 92704
Phone (714) 241-9070

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dalia.dawoud.p137@direct.aac.nextgenshare.com
  • Direct secure messaging: dalia.zakydawoud.p75@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: dalia.zaky.dawoud.1@19859.direct.athenahealth.com
  • Direct secure messaging: dalia.zakydawoud.p76@direct.aac.nextgenshare.com
  • Direct secure messaging: dalia.zakydawoud.p204@direct.aac.nextgenshare.com
  • Direct secure messaging: dalia.zakydawoud.p63@direct.aac.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

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": "1213488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1508026386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR",
            "address_2": "STE 208",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "909-882-9150",
            "fax_number": "951-883-8972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Latham St Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011733",
            "country_code": "US",
            "telephone_number": "951-248-1291",
            "fax_number": "951-248-1295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16506 Lakewood Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellflower",
            "state": "CA",
            "postal_code": "907065165",
            "country_code": "US",
            "telephone_number": "562-888-8961",
            "fax_number": "562-888-8962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKY DAWOUD",
        "first_name": "DALIA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-15",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A156680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALIA",
            "last_name": "DAWOUD",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.