Gregory Dahlquist, MD

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

G56074 Issued in CA

Practice address

1770 N Orange Grove Ave
Sutie 101
Pomona, CA 91767-3027

Phone

(909) 469-9494

Fax

(909) 628-6087

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Family Practice

Education

University of California, Geffen School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Bernardino Mountains Community Hospital DistrictGroup PAC ID 7012826878, shared by 5 NPIs, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vnacare Hospice, Ontario, CA, CCN 051535
• Mountains Community Hospital Hospital, Lake Arrowhead, CA, CCN 051312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• San Bernardino Mountains Community Hospital District

  • Long Term Care Hospital
  • Lake Arrowhead, CA
  • NPI 1174674246

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• San Bernardino Mountains Community Hospital District

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Medicare reassignment NPD
• San Bernardino Mountains Community Hospital District

  • Rural Health Clinic/Center
  • Lake Arrowhead, CA
  • NPI 1528172541

  Hospice and Palliative Medicine

  Medicare reassignment NPD
• Arrowhead Medical Services, Inc.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Lake Arrowhead, CA
  • NPI 1417644576
  NPD Authorized official

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

• San Bernardino Mountains Community Hospital District

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Care Compare affiliation
• Vnacare

  • Community Based Hospice Care Agency
  • Ontario, CA
  • NPI 1114919099
  Care Compare affiliation

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1558362467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE",
            "address_2": "SUTIE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-628-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE",
            "address_2": "SUTIE 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-628-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLQUIST",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G56074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Veronica D'Lima
• Ernestina Dacosta
• Shahida Dadabhoy, M.D
• Michael Dadbin
• Henry Daher
• Zollie Daily
• Mark Dalen
• Joshua Poquiz Dalisay
• John Daliva, DO
• Jeannie Daly, DPT

• Hospice and Palliative Medicine (Family Medicine) Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.