Imad S. Dandan, M.D.
Imad S. Dandan, M.D. is a healthcare organization registered as Trauma Surgery Physician in La Jolla, CA, holding Type 2 (organization) NPI 1679752786 since 2007. The authorized official on file is Imad Dandan, Director, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679752786 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Imad S. Dandan, M.D. |
| Practice address | 9888 GENESEE AVE, LJ-601, La Jolla, CA, 92037 |
| Phone | 8586266362 |
| Fax | 8586266354 |
| Enumeration date | 2007-10-25 |
| Last updated in NPPES | 2007-10-25 |
Authorized official
| Name | Imad Dandan |
|---|---|
| Title | Director, Manager |
| Phone | 8586266362 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0127X | Trauma Surgery Physician | Primary | A45893 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A458930 | Medicaid | CA | — |
| 00A458930 | Other | CA | BLUE SHIELD |
Copy-ready billing details
Provider: Imad S. Dandan, M.D. NPI: 1679752786 Taxonomy: 2086S0127X (Trauma Surgery Physician) Address: 9888 GENESEE AVE, LJ-601, La Jolla, CA, 92037
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700886207 | Gregory Medley | Individual | Pharmacist | La Jolla, CA |
| 1063406080 | David Hodgens | Individual | Radiation Oncology Physician | La Jolla, CA |
| 1629062625 | Jean Mefferd | Individual | Radiation Oncology Physician | La Jolla, CA |
| 1134116080 | Paul Gibbs | Individual | Anatomic Pathology & Clinical Pathology Physician | La Jolla, CA |
| 1841277704 | Scripps Health | Organization | General Acute Care Hospital | La Jolla, CA |
| 1992782841 | Scripps Health | Organization | Skilled Nursing Facility | La Jolla, CA |
| 1073581914 | Ian Reilly | Individual | Emergency Medicine Physician | La Jolla, CA |
| 1801847082 | Alisa Sajadi | Individual | Advanced Practice Midwife | La Jolla, CA |
Verify this record
Cross-check NPI 1679752786 against the authoritative CMS record: view Imad S. Dandan, M.D. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Imad S. Dandan, M.D.?
Who is the authorized official for Imad S. Dandan, M.D.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-25.