Active NPI
Raja Dhalla, MD
- Orthopaedic Surgery Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A73993
- Practice address
- 1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767-3031 - Phone
- (909) 623-8796
- Fax
- (909) 623-3076
- NPI assigned
- Mar 14, 2006
- Last updated
- Jan 4, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A73993 | CA | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A73993 | CA |
Addresses
Primary practice location
1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767-3031
Mailing address
4343 Market St
Ste a
Riverside, CA 92501-3567
Phone (909) 398-1550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A739930 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4343 Market St
A
Riverside, CA 92501-3567
Phone (951) 787-4880
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73993 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhalla Orthopedic Center Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| Dhalla Orthopedic Center | Orthopaedic Surgery | Past | Accepting new patients |
Locations
4343 Market St
Riverside, CA 92501
Phone (951) 787-4880
4343 Market St
Ste A
Riverside, CA 92501
Phone (951) 787-4880
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- rdhalla54701@direct.llu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Riverside, CA
- NPI 1740308683
-
- Orthopaedic Surgery Physician
- Riverside, CA
- NPI 1669557872
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Riverside, CA
- NPI 1578882833
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1730157876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 MARKET ST",
"address_2": "STE A",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013567",
"telephone_number": "909-398-1550",
"fax_number": "909-398-1573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1866 N ORANGE GROVE AVE",
"address_2": "STE 202",
"city": "POMONA",
"state": "CA",
"postal_code": "917673031",
"telephone_number": "909-623-8796",
"fax_number": "909-623-3076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DHALLA",
"first_name": "RAJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A73993",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A73993",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A739930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.