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DR. JONATHAN DALLAS MD
NPI 1811524515
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 24, 2020PECOS Enrolled
1200 N STATE ST STE 3300, LOS ANGELES, CA 90033(323) 409-7422(323) 226-7833 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2020, Jun 5, 2020, Mar 25, 2020 (3 updates tracked since 2020).

About Dr. Jonathan Dallas Md NPPES

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

DR. JONATHAN DALLAS MD (NPI 1811524515) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811524515
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JONATHAN DALLASCredential: MD
Location Address1200 N STATE ST STE 3300Los Angeles, CA 90033-1029
Mailing Address1200 N State St Ste 3300Los Angeles, CA 90033-1029 · (323) 409-7422 · Fax (323) 226-7833
Phone(323) 409-7422
Fax(323) 226-7833
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2020
✔ NPI 1811524515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST STE 3300, Los Angeles, CA 90033
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Dallas Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

ROBERT GRADY BRIGGS
Neurological Surgery
1200 N STATE ST STE 3300
LOS ANGELES, CA 90033
Los Angeles County (323) 226-7421
DR. RAGHAV GUPTA MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST STE 3300
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7422

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 Jonathan Dallas's NPI number?

The NPI number for Jonathan Dallas is 1811524515. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Jonathan Dallas located?

Jonathan Dallas practices at 1200 N State St Ste 3300, Los Angeles, CA 90033. The listed phone number is (323) 409-7422.

What is Jonathan Dallas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Dallas enrolled in Medicare?

Yes. Jonathan Dallas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Dallas was last updated on November 27, 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.