Individual provider Active NPI

John Gregory Dalle, D.O.

  • Diagnostic Radiology Physician
  • Corona, CA
National Provider Identifier
1780684639
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A8441 Issued in CA
Practice address
801 S Main St Ste 101&205
Corona, CA 92882-3402
Phone
(951) 238-6071
Fax
(951) 351-1025
NPI assigned
Jul 21, 2005
Last updated
May 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 54676 MN
Diagnostic Radiology Physician 2085R0202X 20A8441 CA Primary

Addresses

Primary practice location

801 S Main St Ste 101&205
Corona, CA 92882-3402

Mailing address

PO Box 101418
Pasadena, CA 91189-0025
Phone (844) 866-2718

Other identifiers 3

IdentifierTypeStateIssuer
020A84410OtherCABLUE SHIELD
00AX84410MedicaidCA
P00126987OtherCARAILROAD

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
I20040315001251 CA Practitioner - Diagnostic Radiology 5294624250 Reassigns benefits to 13 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Midwestern University, Chicago College of Osteopathic Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

222 W Eulalia St
Glendale, CA 91204-2849
Phone (818) 502-2323

79440 Corporate Ctr Dr
Suite 118
La Quinta, CA 92253-7244
Phone (760) 777-4646

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Dec 15, 2022 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Dec 15, 2022 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients
Quantum Medical Radiology of California, P.C. Diagnostic Radiology Past Accepting new patients
University Radiology Associates Diagnostic Radiology PastSince Feb 1, 1997 Accepting new patients
Osu Radiology LLC Diagnostic Radiology PastSince Oct 1, 2005 Accepting new patients

Locations (25 of 40)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 101205
Corona, CA 92882
Phone (951) 238-6071

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

222 W Eulalia St
Glendale, CA 91204
Phone (818) 240-0601

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

81800 Doctor Carreon Blvd
Ste C
Indio, CA 92201
Phone (760) 863-4085

79440 Corporate Center Dr
Ste 118
La Quinta, CA 92253
Phone (760) 698-8128

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1780684639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101418",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911890025",
            "telephone_number": "844-866-2718",
            "fax_number": "310-966-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MAIN ST STE 101&205",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823402",
            "telephone_number": "951-238-6071",
            "fax_number": "951-351-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLE",
        "first_name": "JOHN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "54676",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A8441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "020A84410",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX84410",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00126987",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.