DR. DALLAS JOSEPH DE LA VARA MD
NPI 1235624321
Psychiatry & Neurology - Neurology in Orange, CA

Active since June 29, 2018PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, ORANGE, CA 92868(714) 456-8888 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 31, 2024, May 5, 2024, Jun 23, 2023 and 1 more (4 updates tracked since 2018).

About Dr. Dallas Joseph De La Vara Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DALLAS JOSEPH DE LA VARA MD (NPI 1235624321) is an individual neurology provider in Orange, California, licensed in California (A175169) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2018).

NPPES Registry Identity

NPI1235624321
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. DALLAS JOSEPH DE LA VARACredential: MD
Location Address101 THE CITY DR SOrange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-8888 · Fax (352) 273-5575
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2018
Enumeration DateJune 29, 2018
Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
NPI 1235624321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in CA · A175169 Licensed in FL · ME158555
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
101 THE CITY DR S, Orange, CA 92868

Secondary Practice Locations 3

Location 11505 SW Archer RdGainesville, FL 32608-1134 · Phone (352) 265-8408
Location 23009 SW Williston RdGainesville, FL 32608-3928 · Phone (352) 294-5400
Location 31600 SW Archer RdGainesville, FL 32610-5317 · Phone (352) 273-5550 · Fax (352) 273-5575

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dallas Joseph De La Vara Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183083165
PECOS Enrollment IDI20240807004711
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas De La Vara's NPI number?

The NPI number for Dallas De La Vara is 1235624321. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Dallas De La Vara located?

Dallas De La Vara practices at 101 The City Dr S, Orange, CA 92868. The listed phone number is (714) 456-8888.

What is Dallas De La Vara's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Dallas De La Vara enrolled in Medicare?

Yes. Dallas De La Vara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dallas De La Vara was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.