Active NPI
Dailly Allee Mack, CPO
- Orthotist
- Laguna Hills, CA
National Provider Identifier
1831028067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 5699
- Practice address
- 23961 Calle de la Magdalena Ste 115
Laguna Hills, CA 92653-3616 - Phone
- (949) 581-3890
- Fax
- (949) 581-6067
- NPI assigned
- May 14, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 5699 | CA | |
| Orthotist | 222Z00000X | 5699 | CA | Primary |
Addresses
Primary practice location
23961 Calle de la Magdalena Ste 115
Laguna Hills, CA 92653-3616
Mailing address
5206 Alamosa Park Dr
Oceanside, CA 92057-6307
Phone (808) 292-7739
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5699 | CA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1831028067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5206 ALAMOSA PARK DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920576307",
"telephone_number": "808-292-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23961 CALLE DE LA MAGDALENA STE 115",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533616",
"telephone_number": "949-581-3890",
"fax_number": "949-581-6067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "DAILLY",
"middle_name": "ALLEE",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "5699",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "5699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.