Hui-Wen A Dai, D.O.
Individual provider Active NPI Family Medicine Physician · Fallbrook, CA
NPI 1609053701 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1609053701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A10278 (CA)
- Practice address
- 1035 S Main Ave
Fallbrook, CA 92028-3338 - Phone
- (760) 291-6700
- Fax
- (760) 728-9732
- NPI assigned
- Jan 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Graybill Medical Group Inc
Practice addresses (Care Compare)
1035 S Main Ave
Fallbrook, CA 92028-3338
Phone (866) 228-2236
Hospital & facility affiliations
- Archer Health Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090922000262 | CA | Practitioner - Family Practice | 2567518244 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10278 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graybill Medical Group Inc | Family Medicine | Current |
Accepting new patients |
Locations
225 E 2nd Ave
Escondido, CA 92025
1035 S Main Ave
Fallbrook, CA 92028
Phone (760) 728-2777
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A10278 | CA | Yes |
Addresses
Primary practice location
1035 S Main Ave
Fallbrook, CA 92028-3338
Mailing address
225 E 2ND Ave
Escondido, CA 92025-4249
Phone (760) 291-6700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ20970Z | Other | MEDICARE GROUP NUMBER |
Other providers in Fallbrook, CA
- Cristina Wood Marriage and Family Therapy Inc.
- Kimberlie Marie Crome
- Karen Cronk
- Angelica Curiel-Torres
- Goran Cvijanovic
- Gabriel Davis
- Francisco De Los Santos Jr.
- Zoe De Venture
- Natasha Defendis
- Amanda M Del Re
All providers in Fallbrook, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.