Active NPI
Maili Velez-Dalla Tor, M.D.
- Family Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A71918
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.36 of 100
- Quality
- 60.04
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 69.31
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.35 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 71918 | CA | MD | Pharmacist |
| A71918 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Medical Group | Family Medicine | Current | Accepting new patients |
| Emanate Health Medical Group | Current | Accepting new patients | |
| Emanate Health Medical Care Foundation | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| Pulmonary Allied Health Apc | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | Accepting new patients | |
| Southern California Hospitalist Network Medical Group Inc | Current | Accepting new patients | |
| Citrus Valley Physician Partners | Current | Accepting new patients | |
| East Valley Community Health Center, Inc. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- West Covina, CA
- NPI 1467195073
-
- Federally Qualified Health Center (FQHC)
- West Covina, CA
- NPI 1831243625
-
- Family Medicine Physician
- Glendora, CA
- NPI 1326582743
-
- Internal Medicine Physician
- Orange, CA
- NPI 1790880458
-
- Specialist
- West Covina, CA
- NPI 1043703150
-
- Federally Qualified Health Center (FQHC)
- Covina, CA
- NPI 1285046847
-
- Federally Qualified Health Center (FQHC)
- Pomona, CA
- NPI 1649324443
-
- General Practice Physician
- Covina, CA
- NPI 1881054997
-
- Home Health Agency
- Rowland Heights, CA
- NPI 1154982601
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Family Medicine Physician
- Whittier, CA
- NPI 1831251610
-
- General Acute Care Hospital
- Inverness, FL
- NPI 1750780342
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- Psychiatric Hospital Unit
- Covina, CA
- NPI 1215063151
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.