Active NPI
Theresa E Dailey, MD
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1750359287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C51771
- Practice address
- 12395 El Camino Real
Ste 315
San Diego, CA 92130-3082 - Phone
- (858) 794-5437
- Fax
- (858) 794-5439
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C51771 | CA | Primary |
Addresses
Primary practice location
12395 El Camino Real
Ste 315
San Diego, CA 92130-3082
Mailing address
12395 El Camino Real
Ste 315
San Diego, CA 92130-3082
Phone (858) 794-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C51771 | Other | CA | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51771 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Children'S Primary Care Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| Carmel Valley Pediatrics | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- tdailey28166@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Pediatrics Physician
- San Diego, CA
- NPI 1689860108
-
- Pediatrics Physician
- San Diego, CA
- NPI 1184788291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1750359287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "STE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303082",
"telephone_number": "858-794-5437",
"fax_number": "858-794-5439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 EL CAMINO REAL",
"address_2": "STE 315",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303082",
"telephone_number": "858-794-5437",
"fax_number": "858-794-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAILEY",
"first_name": "THERESA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C51771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "C51771",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.