Individual provider Active NPI

Riti Sharma Dayal, MD

  • Pediatrics Physician
  • Irvine, CA
National Provider Identifier
1922447937
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A138766 Issued in CA
Practice address
18 Endeavor Ste 203
Irvine, CA 92618-3181
Phone
(949) 910-1188
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD449350 PA
Pediatrics Physician 208000000X 0101243100 VA
Pediatrics Physician 208000000X A138766 CA Primary

Addresses

Primary practice location

18 Endeavor Ste 203
Irvine, CA 92618-3181

Mailing address

18 Endeavor Ste 203
Irvine, CA 92618-3181
Phone (949) 910-1188

Other practice location 1

307 Placentia Ave Ste 107
Newport Beach, CA 92663-3307
Phone (949) 270-2100

Other names 1

  • Riti Sharma Former name

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
I20161123001237 CA Practitioner - Pediatric Medicine 5092943498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138766CAMDPediatrics Physician
MD449350PAMDPediatrics Physician
0101243100VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2021 Accepting new patients
Royalkids Clinic Pediatrics Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2021 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients

Locations

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

411 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000

18 Endeavor
Ste 203
Irvine, CA 92618
Phone (949) 733-0168

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFIDCD/Endpoint/GFIDCD

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1922447937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "949-910-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 ENDEAVOR STE 203",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183181",
            "telephone_number": "949-910-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Placentia Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926633307",
            "country_code": "US",
            "telephone_number": "949-270-2100",
            "fax_number": "949-650-4458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAYAL",
        "first_name": "RITI",
        "middle_name": "SHARMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD449350",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101243100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A138766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITI",
            "last_name": "SHARMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.