Individual provider Active NPI

Maili Velez-Dalla Tor, M.D.

  • Family Medicine Physician
  • West Covina, CA
National Provider Identifier
1992763619
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71918 Issued in CA
Practice address
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Phone
(626) 732-8391
NPI assigned
May 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X A71918 CA
Family Medicine Physician 207Q00000X A71918 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921

Mailing address

1770 N Orange Grove Ave
Suite101
Pomona, CA 91767-3027
Phone (909) 469-9494

Other practice location 1

1770 N Orange Grove Ave
Suite101
Pomona, CA 91767-3027
Phone (909) 469-9494

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
I20051216000750 CA Practitioner - Family PracticePractitioner - Hospice/Palliative Care 0345261368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emanate Health Medical Care FoundationGroup PAC ID 9830544980, 85 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940

1135 S Sunset Ave
Suite 401
West Covina, CA 91790-3921
Phone (626) 732-8391

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
60.04
Promoting interoperability
87
Improvement activities
40
Cost
69.31

Merit-based Incentive Payment System (MIPS)

Final score
82.35 of 100Reported as group
Quality
52.92
Promoting interoperability
93
Improvement activities
40
Cost
70.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71918CAMDPharmacist
A71918CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Group Family Medicine Current Accepting new patients
Emanate Health Medical Group CurrentSince Nov 11, 2019 Accepting new patients
Emanate Health Medical Care Foundation CurrentSince Jan 1, 2024 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Jul 16, 2017 Accepting new patients
Pulmonary Allied Health Apc CurrentSince Jun 5, 2019 Accepting new patients
East Valley Community Health Center, Inc. Current Accepting new patients
Southern California Hospitalist Network Medical Group Inc CurrentSince Jan 26, 2019 Accepting new patients
Citrus Valley Physician Partners CurrentSince Nov 11, 2019 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Jul 16, 2017 Accepting new patients
Intercommunity Family Medical Asoociates, Inc. Family Medicine Past Accepting new patients
Citrus Memorial Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

14514 Ramona Blvd
Ste 3
Baldwin Park, CA 91706
Phone (626) 337-0424

14375 Pipeline Ave
Chino, CA 91710
Phone (626) 918-6544

147 W College St
Covina, CA 91723
Phone (626) 332-2860

315 N 3rd Ave
Ste 102
Covina, CA 91723
Phone (626) 261-4048

315 N 3rd Ave
Ste 307
Covina, CA 91723
Phone (626) 331-4443

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

440 W Foothill Blvd
Glendora, CA 91741
Phone (626) 963-9402

625 The City Dr S
Ste 320
Orange, CA 92868
Phone (714) 202-2330

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

19267 Colima Rd
Ste J
Rowland Heights, CA 91748
Phone (626) 964-2100

1115 S Sunset Ave
Ste 200
West Covina, CA 91790
Phone (626) 732-8390

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

1135 S Sunset Ave
Ste 401
West Covina, CA 91790
Phone (626) 732-8390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: maili.velezdallator.p1@direct.evchc.nextgenshare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1992763619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N ORANGE GROVE AVE",
            "address_2": "SUITE101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673027",
            "telephone_number": "909-469-9494",
            "fax_number": "909-620-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 401",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903921",
            "telephone_number": "626-732-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 N Orange Grove Ave",
            "address_2": "Suite101",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917673027",
            "country_code": "US",
            "telephone_number": "909-469-9494",
            "fax_number": "909-620-7285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ-DALLA TOR",
        "first_name": "MAILI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A71918",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.