MARY I DALLAH NP
NPI 1477123149
Nurse Practitioner - Psychiatric/Mental Health in Colton, CA
About Mary I Dallah Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY I DALLAH NP (NPI 1477123149) is an individual psychiatric/mental health provider in Colton, California, licensed in California (95034751) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Mary I Dallah Np 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
COLTON, CA 92324
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 Mary Dallah's NPI number?
The NPI number for Mary Dallah is 1477123149. It was assigned to this individual provider in the NPPES registry on June 25, 2021.
Where is Mary Dallah located?
Mary Dallah practices at 400 N Pepper Ave, Colton, CA 92324. The listed phone number is (909) 580-1800.
What is Mary Dallah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mary Dallah enrolled in Medicare?
Yes. Mary Dallah 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 Mary Dallah was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Mary I Dallah, NP · NPI 1477123149
Psychiatric/Mental Health physician in Colton, California. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1477123149 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95034751 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 N PEPPER AVE, Colton, CA 92324-1801
- **Phone:** (909) 580-1800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477123149) · Data from the CMS NPPES public registry.