Individual provider Active NPI

Oussama I Dagher, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
National Provider Identifier
1710183165
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A100106 Issued in CA
Practice address
777 E Hawkeye Ave
Turlock, CA 95380-7506
Phone
(209) 668-8030
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A100106 NY
Cardiovascular Disease Physician 207RC0000X A100106 CA Primary

Addresses

Primary practice location

777 E Hawkeye Ave
Turlock, CA 95380-7506

Mailing address

PO Box 4978
Modesto, CA 95352-4978
Phone (205) 575-4575

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070824000702 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799877429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Cardiovascular Medical Group IncGroup PAC ID 3476702242, 5 clinicians

Practice addresses (Care Compare)

3150 G St
Suite a
Merced, CA 95340-1346
Phone (209) 385-2240

600 W I St
Suite a
Los Banos, CA 93635-3460
Phone (209) 826-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.62 of 100Reported as group
Quality
42.31
Improvement activities
40
Cost
80.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A100106CAMDCardiovascular Disease Physician
A100106NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Cardiovascular Medical Group, Inc CurrentSince Aug 15, 2012 Accepting new patients
Premier Vascular and Vein Surgery Center CurrentSince Dec 5, 2025 Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Reza Vafadouste MD a Medical Corporation Cardiovascular Disease Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Reza Vafadouste MD a Medical Corporation Cardiovascular Disease PastSince Aug 1, 2012 Accepting new patients

Locations

600 W I St
Ste A
Los Banos, CA 93635
Phone (209) 826-4800

312 W J St
Los Banos, CA 93635
Phone (209) 827-6178

3349 G St
Ste B
Merced, CA 95340
Phone (209) 385-2240

3150 G St
Ste A
Merced, CA 95340
Phone (209) 385-2240

205 W Granger Ave
Modesto, CA 95350
Phone (209) 571-0288

1512 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

1508 Colorado Ave
Turlock, CA 95380
Phone (209) 668-8030

777 E Hawkeye Ave
Turlock, CA 95380
Phone (209) 385-2240

777 E Hawkeye Ave
Ste 3
Turlock, CA 95380
Phone (209) 667-1718

Interoperability endpoints

  • Direct secure messaging: centralvalleycardiovascularmedicalgroup.oussamadagher@129545.advancedmd-direct.com
  • Direct secure messaging: odagher95728@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1710183165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "205-575-4575",
            "fax_number": "209-545-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 E HAWKEYE AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953807506",
            "telephone_number": "209-668-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGHER",
        "first_name": "OUSSAMA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "A100106",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A100106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.