| Tanya Dall, MD | |
|
30230 Rancho Viejo Rd Ste 134, San Juan Capistrano, CA 92675-1585 | |
| (949) 702-6736 | |
| Not Available |
| Full Name | Tanya Dall |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 30230 Rancho Viejo Rd Ste 134, San Juan Capistrano, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932563533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A151283 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copper Queen Community Hospital | Bisbee, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renew Health Medical Corporation | 3375063837 | 2 |
| Bisbee Hospital Association | 5092626168 | 55 |
| Entity Name | Mission Viejo Emergency Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073542916 PECOS PAC ID: 2163335241 Enrollment ID: O20031106000308 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Mission Viejo Emergency Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134355597 PECOS PAC ID: 7315090271 Enrollment ID: O20090725000046 |
| Entity Name | Renew Health Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629894324 PECOS PAC ID: 3375063837 Enrollment ID: O20250227001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Dall, MD 146 Spur St, Rmv, CA 92694-1614 Ph: (949) 702-6736 | Tanya Dall, MD 30230 Rancho Viejo Rd Ste 134, San Juan Capistrano, CA 92675-1585 Ph: (949) 702-6736 |
Winifred Chambers, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 27172-a Calle Caballero, San Juan Capistrano, CA 92675 Phone: 954-592-2901 |