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MALIA DADSETAN DO
NPI 1740773530
Family Medicine in Tustin, CA

Active since June 07, 2018PECOS EnrolledAccepts Medicare Assignment
17251 17TH ST STE B, TUSTIN, CA 92780(657) 241-8580(714) 665-4608 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Feb 5, 2021 (2 updates tracked since 2021).

About Malia Dadsetan Do NPPES

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

MALIA DADSETAN DO (NPI 1740773530) is an individual family medicine provider in Tustin, California, licensed in California (D4475110) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1740773530
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMALIA DADSETANCredential: DO
Location Address17251 17TH ST STE BTustin, CA 92780-1963
Mailing Address17251 17th St Ste BTustin, CA 92780-1963 · (657) 241-8580 · Fax (714) 665-4608
Phone(657) 241-8580
Fax(714) 665-4608
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2018
Last NPPES UpdateNovember 14, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1740773530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · D4475110
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
17251 17TH ST STE B, Tustin, CA 92780
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Malia Dadsetan Do 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 ID2860820149
PECOS Enrollment IDI20200403002859
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.

Medicare Billing Reassignment

Medicare enrollment records show Malia Dadsetan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorialcare Medical Foundation
7.9 mi
Clinic/Center
17360 BROOKHURST ST
Fountain Valley, CA 92708
  • Reassigned Medicare billing, California enrollment
  • 948 clinicians in this Medicare group
NPI 1205167350 (877) 696-3622

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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.

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 Malia Dadsetan's NPI number?

The NPI number for Malia Dadsetan is 1740773530. It was assigned to this individual provider in the NPPES registry on June 7, 2018.

Where is Malia Dadsetan located?

Malia Dadsetan practices at 17251 17th St Ste B, Tustin, CA 92780. The listed phone number is (657) 241-8580.

What is Malia Dadsetan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Malia Dadsetan enrolled in Medicare?

Yes. Malia Dadsetan 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.

Which organization bills Medicare for Malia Dadsetan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malia Dadsetan reassigns Medicare benefits to Memorialcare Medical Foundation (Fountain Valley, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malia Dadsetan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Malia Dadsetan was last updated on November 14, 2023. 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.