Ilsook Park Dahlin, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95031582 Issued in CA

Practice address

35463 Highway 41
Coarsegold, CA 93614-8722

Phone

(559) 683-6292

NPI assigned

Aug 10, 2024

Last updated

Aug 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Camarena HealthGroup PAC ID 4880584317, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Camarena Health

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1891778114

  Family

  Medicare reassignment Care Compare group NPD
• Camarena Health

  dba Camarena Health - Los Banos

  • Federally Qualified Health Center (FQHC)
  • Los Banos, CA
  • NPI 1114757754
  NPD
• Camarena Health

  dba Insight

  • Federally Qualified Health Center (FQHC)
  • Madera, CA
  • NPI 1669005427
  NPD
• Coarsegold Creek Medical Center

  • General Practice Physician
  • Coarsegold, CA
  • NPI 1629646161
  NPD

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1528899622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936140970",
            "telephone_number": "559-246-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35463 HIGHWAY 41",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936148722",
            "telephone_number": "559-683-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLIN",
        "first_name": "ILSOOK",
        "middle_name": "PARK",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Campos
• Central Valley Mobility
• Coarsegold Creek Medical Center
• Coarsegold Physical Therapy, Incorporated
• Lisa Crassi, CMT
• Stephen Dahlin, D.C.
• Irene Rojas Elizondo
• Maria Denise Elliott, LMFT
• Martha Grace Foster
• John Eric Francom, D.M.D.

• Family Nurse Practitioner in Coarsegold, CA
• Providers in Coarsegold, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.

Verify at the official NPI Registry.