KAI DALLAS (NPI# 1245674480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245674480 |
| Entity Type | Individual |
| Full Name | KAI DALLAS |
| Credential | MD |
| Practice Address |
4650 Lincoln Blvd Marina Del Rey CA 90292-6306 |
| Mailing Address |
39 Terrace Ave Albany NY 12203-1916 |
| Practice Telephone | 3108238911 |
| Mailing Telephone | 5184245758 |
| Mailing Fax Number | 6507233045 |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A131901 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Pasteur Dr, Rm Hc435, Stanford, CA 943052200 | 6507235948 | 6507233045 |
| Street Address |
4650 LINCOLN BLVD |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531119 | Adrian T. Reyes | Anesthesiology | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2006-01-04 |
| 1487282794 | Mary Karen Lopez | Registered Nurse | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2020-03-31 |
| 1467006577 | Torbertha Pannor Torbon | Nurse Practitioner | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2019-07-26 |
| 1831654482 | Suk Yun Oh | Pharmacist | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2019-02-07 |
| 1821560301 | Allan Calpo | Respiratory Therapist, Registered | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2018-12-21 |
| 1487186672 | Johnkim Nguyen Md Inc | Anesthesiology | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2017-03-28 |
| 1972976603 | Vineyard Medical Services, A Med Corp | Nurse Practitioner | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2015-11-03 |
| 1710358791 | Hilda Riderer | Internal Medicine | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2015-10-15 |
| 1073984506 | Generation Medical Services, A Med Corp | Physician Assistant | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2015-10-09 |
| 1801202692 | California Em-i Medical Services, A Medical Corporation | Physician Assistant | 4650 Lincoln Blvd, Marina Del Rey, CA 90292-6306 | 2014-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033096 | Urology Surgical Partners | Urology | 15944 Los Serranos Country Club Dr Ste 200, Chino Hills, CA 91709-3991 | 2020-11-06 |
| 1891301487 | Fadl Hamouche | Urology | 400 Parnassus Ave # A632, San Francisco, CA 94143-2202 | 2020-09-18 |
| 1083233902 | Elite Medical Group PC | Urology | 2083 Compton Ave Ste 202, Corona, CA 92881-3416 | 2020-04-10 |
| 1659919660 | Thrive Medical, Inc. | Urology | 18740 Ventura Blvd Ste 101, Tarzana, CA 91356-3366 | 2019-12-20 |
| 1457997645 | David G Song Md Inc | Urology | 5365 Walnut Avenue Ste A, Chino, CA 91710-9171 | 2019-11-21 |
| 1699316273 | Golden Gate Urology Inc | Urology | 929 Clay St Ste 505, San Francisco, CA 94108-1500 | 2019-10-04 |
| 1598318461 | Khoddami Medical Group Inc | Urology | 2705 Loma Vista Rd Ste 206, Ventura, CA 93003-1584 | 2019-07-19 |
| 1942760293 | Adventist Health Physicians Network | Urology | 2701 Chester Ave # 102, Bakersfield, CA 93301-2016 | 2019-03-22 |
| 1699233361 | Orange Coast Medical, A Medical Corporation | Urology | 10900 Warner Ave Ste 121, Fountain Valley, CA 92708-3846 | 2019-03-12 |
| 1891268389 | John Joseph Granato Jr. | Urology | 333 Cumberland Rd, Glendale, CA 91202-1256 | 2019-01-07 |
| Find all providers with the same taxonomy | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.