Nadine Aldahhan, DO
Individual provider Active NPI Family Medicine Physician · Sausalito, CA
NPI 1609202308 · NPPES record last updated Jan 27, 2019
Key facts
- NPI
- 1609202308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 20A14150 (CA)
- Practice address
- 3 Harbor Dr Ste 111
Sausalito, CA 94965-1491 - Phone
- (415) 683-2988
- Fax
- (415) 683-2900
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 37
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- University of North Texas HSC, College of Osteopathic Med, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
3883 Airway Dr
Suite 120
Santa Rosa, CA 95403-1678
Phone (707) 521-4495
Hospital & facility affiliations
- California Pacific Medical Center- Van Ness Campus
- Marinhealth Medical Center
- Novato Community Hospital
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center - Mission Bernal
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, CA, HI
- 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 |
|---|---|---|---|---|
| I20160301001786 | TX | Practitioner - Family Practice | 6901024009 | Reassigns benefits to 3 organizations |
| I20170116000677 | CA | Practitioner - Emergency Medicine |
6901024009 | Reassigns benefits to 3 organizations |
| I20171208000472 | HI | Practitioner - Family Practice | 6901024009 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14150 | CA | MD | Family Medicine Physician |
| 14150 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Sound Physicians of Hawaii Inc | Family Medicine | Current |
Accepting new patients |
| University of California SFGH Medical Group | Family Medicine | Current |
Accepting new patients |
| Oleander Emergency Medicine Associates PA | Current |
Accepting new patients | |
| Ut Physicians | Family Medicine | Current |
Accepting new patients |
| Prima Medical Foundation | Current |
Accepting new patients | |
| Regents Univ of California UCSF | Current |
Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Sutter Bay Medical Foundation | Current |
Accepting new patients | |
| Ut Physicians | Current |
Accepting new patients | |
| University of California SFGH Medical Group | Current |
Accepting new patients | |
| Sutter East Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Franciscan Care Services Inc | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients | |
| Marin General Hospital | Past | Accepting new patients | |
| Citizens Medical Center County of Victoria | Past | Accepting new patients | |
| Franciscan Care Services Inc | Past | Accepting new patients |
Locations (25 of 31)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
2300 California St
Ste 202
San Francisco, CA 94115
Phone (415) 600-3503
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2395 Lombard St
San Francisco, CA 94123
Phone (415) 640-5024
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
2128 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 425-0727
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
3883 Airway Dr
Ste 120
Santa Rosa, CA 95403
Phone (707) 521-4495
3 Harbor Dr
Ste 111
Sausalito, CA 94965
Phone (415) 683-2988
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Interoperability endpoints
- naldahhan356066@hisp.ehr.sutterhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 20A14150 | CA | |
| Family Medicine Physician | 207Q00000X | 20A14150 | CA | Yes |
Addresses
Primary practice location
3 Harbor Dr Ste 111
Sausalito, CA 94965-1491
Mailing address
3 Harbor Dr Ste 111
Sausalito, CA 94965-1491
Phone (415) 683-2988
Other practice location 1
3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone (707) 521-4495
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A14150 | Other | CA | STATE MEDICAL LICENSE |
Other providers in Sausalito, CA
- 10 Minute Fitness Inc.
- Acupuncture in Nature
- Mason Aguila
- Aditi Ahlawat
- Sharif Ali
- Rachel Alt
- Alta Mira Recovery Programs
- Alta Mira Treatment Centers
- Jill Louise Anderson
All providers in Sausalito, 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 Jan 27, 2019. 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.