1. Home
  2. Directory
  3. California
  4. La Jolla
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. ALI DAWLATLY MD, DDS
NPI 1679918288
Oral & Maxillofacial Surgery in La Jolla, CA

Active since May 09, 2013Opted out of Medicare · through Feb 23, 2028
9888 GENESEE AVE, LA JOLLA, CA 92037(858) 834-1798 Get Directions Write a Review

NPPES record last updated: February 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 24, 2023, Aug 11, 2022, Mar 11, 2021 and 3 more (6 updates tracked since 2017).

About Dr. Ali Dawlatly Md, Dds NPPES

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

DR. ALI DAWLATLY MD, DDS (NPI 1679918288) is an individual oral & maxillofacial surgery provider in La Jolla, California, licensed in Texas (S9868) and active in the NPI registry since May 2013. He has opted out of Medicare through February 23, 2028.

NPPES Registry Identity

NPI1679918288
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ALI DAWLATLYCredential: MD, DDS
Location Address9888 GENESEE AVELa Jolla, CA 92037-1205
Mailing Address9888 Genesee AveLa Jolla, CA 92037-1205
Phone(858) 834-1798
Sole ProprietorNo
Enumeration DateMay 9, 2013
Last NPPES UpdateFebruary 24, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2023
✔ NPI 1679918288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · S9868
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedSurgeryTaxonomy 208600000X · License S9868 (TX)
9888 GENESEE AVE, La Jolla, CA 92037
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ali Dawlatly Md, Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 23, 2026 through February 23, 2028.

Opt-Out Effective DateFebruary 23, 2026
Opt-Out In Effect ThroughFebruary 23, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. KIERSTEN DUTRA RN
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
LA JOLLA RADIOLOGY MEDICAL GROUP THERAPY, INC
Clinic/Center (Oncology, Radiation)
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (760) 599-9545
JOSHUA JINHONG PARK PHARMD
Pharmacist
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 305-4336
DR. MONTE TIM MELLON M.D. M.B.A.
Emergency Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 626-6150
JAMES G. SCHWENDIG M.D.
Surgery (Trauma Surgery)
9888 GENESEE AVE, LJ-601
LA JOLLA, CA 92037
San Diego County (858) 626-6350
AMY EVENSTAD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9888 GENESEE AVE, LJ 18
LA JOLLA, CA 92037
San Diego County (858) 626-4606
RYAN FONG
Registered Nurse
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (858) 834-1798
CHRISTOPHER LUCAS WALSH M.D.
Internal Medicine
9888 GENESEE AVE
LA JOLLA, CA 92037
San Diego County (410) 428-7710

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 Ali Dawlatly's NPI number?

The NPI number for Ali Dawlatly is 1679918288. It was assigned to this individual provider in the NPPES registry on May 9, 2013.

Where is Ali Dawlatly located?

Ali Dawlatly practices at 9888 Genesee Ave, La Jolla, CA 92037. The listed phone number is (858) 834-1798.

What is Ali Dawlatly's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ali Dawlatly enrolled in Medicare?

No. Ali Dawlatly has opted out of Medicare through February 23, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ali Dawlatly was last updated on February 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.