Individual provider Active NPI

Torijaun D'Aundre Dallas, MD

  • Anesthesiology Physician
  • Ketchikan, AK
National Provider Identifier
1669614079
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
145347 Issued in AK
Practice address
3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone
(907) 228-8300
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P8768 TX
Anesthesiology Physician 207L00000X A154019 CA
Anesthesiology Physician 207L00000X 145347 AK Primary

Addresses

Primary practice location

3100 Tongass Ave
Ketchikan, AK 99901-5746

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (925) 779-7274

Other practice location 1

3901 Lone Tree Way Ste 2
Antioch, CA 94509-6200
Phone (925) 779-7274

Other identifiers 1

IdentifierTypeStateIssuer
A154019OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, AK3 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
I20160114000507 TX Practitioner - Anesthesiology 0345559381 Reassigns benefits to 4 organizations
I20181204003198 CA Practitioner - Anesthesiology 0345559381 Reassigns benefits to 4 organizations
I20200616001787 AK Practitioner - Anesthesiology 0345559381 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Louisiana State University School of Medicine in New Orleans, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Regional Anesthesia Associates IncGroup PAC ID 3870964323, 143 clinicians
Denali Anesthesia LLCGroup PAC ID 2567455678, 25 clinicians
HSS Anesthesia LLCGroup PAC ID 2567931389, 13 clinicians

Practice addresses (Care Compare)

2388 N California St
Stockton, CA 95204-5506
Phone (209) 944-9100

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1257

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154019CAMDAnesthesiology Physician
P8768TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Jan 4, 2025 Accepting new patients
Peacehealth Current Accepting new patients
Northstar Anesthesia II PA Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Apr 1, 2019 Accepting new patients
Texans Anesthesia Associates PLLC Anesthesiology CurrentSince Jun 1, 2018 Accepting new patients
Providence Anchorage Anesthesia Medical Group, P.C. Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Nov 22, 2015 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2018 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 11, 2019 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Nov 11, 2019 Accepting new patients
Peacehealth Anesthesiology CurrentSince Feb 7, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 1, 2018 Accepting new patients
Denali Anesthesia, LLC Anesthesiology CurrentSince Jul 1, 2021 Accepting new patients
Northstar Anesthesia III PA Anesthesiology CurrentSince Oct 1, 2020 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
University Hospitals Medical Group Inc Anesthesiology PastSince Jul 1, 2020 Accepting new patients

Locations (25 of 44)

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

3300 Providence Dr
Ste 207
Anchorage, AK 99508
Phone (907) 279-0555

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

3901 Lone Tree Way
Ste 2
Antioch, CA 94509
Phone (925) 779-7274

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

1420 E Roseville Pkwy
Ste 100
Roseville, CA 95661
Phone (916) 677-2488

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

Interoperability endpoints

  • Direct secure messaging: tdallas735743@direct.peacehealth.org

Organizations & group practices 20

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 20

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1669614079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "925-779-7274",
            "fax_number": "925-779-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015746",
            "telephone_number": "907-228-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Lone Tree Way Ste 2",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945096200",
            "country_code": "US",
            "telephone_number": "925-779-7274",
            "fax_number": "925-779-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALLAS",
        "first_name": "TORIJAUN",
        "middle_name": "D'AUNDRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P8768",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A154019",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AK",
            "license": "145347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A154019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

Verify at the official NPI Registry.