Iyabo O Daramola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A463633 Issued in CA

Practice address

2401 Reo Dr
San Diego, CA 92139

Phone

(619) 479-6767

Fax

(619) 434-3380

NPI assigned

Dec 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Odos Home Health Inc Home health agency, La Mesa, CA, CCN 059374
• Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222
• Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
• Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DBDHAA/Endpoint/DBDHAA
• Direct secure messaging: pvh-idaramola@primehealthcare.direct-ci.com

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.

• Iyabo Daramola MD Inc

  dba Caring Hearts Medical Clinic

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1114938214
  Medicare reassignment NPD Authorized official
• Caring Hearts Medical Foundation and Health Services Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1013286707
  NPD (past) Authorized official
• Iyabo Daramola MD Inc

  dba Caring Hearts Medical Clinic East

  • Internal Medicine Physician
  • El Cajon, CA
  • NPI 1831596865
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grossmont Hospital Corporation

  dba Sharp Grossmont Hospital

  • General Acute Care Hospital
  • La Mesa, CA
  • NPI 1528041811
  Care Compare affiliation
• Odos Home Health, Inc

  • Home Health Agency
  • La Mesa, CA
  • NPI 1033413182
  Care Compare affiliation
• Sharp Chula Vista Medical Center

  • General Acute Care Hospital
  • Chula Vista, CA
  • NPI 1396728630
  Care Compare affiliation
• Sharp Memorial Hospital

  dba Sharp Allison deRose Rehabilitation Center

  • Rehabilitation Hospital Unit
  • San Diego, CA
  • NPI 1114901352
  Care Compare affiliation
• Sharp Memorial Hospital

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1407839921
  Care Compare affiliation

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1851378236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 675833",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920675833",
            "telephone_number": "619-489-6767",
            "fax_number": "619-434-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 REO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92139",
            "telephone_number": "619-479-6767",
            "fax_number": "619-434-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARAMOLA",
        "first_name": "IYABO",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A463633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A636330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valderene A Dapaixao Passos Waian
• Amanda Karla Dappen
• Stephen M Daquino, DO
• Josefina Cruz Dar, R.N.
• Ana Iris Daramola
• Anastasia Fe Daravong, COTA/L
• Kelie Marie Darbouze, LCSW
• Zoey Hanna Darby
• Shane Darcey, RN
• Robin Darchuck

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.

Verify at the official NPI Registry.