Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary I Dallah, NP

Individual provider Registered Nurse · NPI 1477123149

Mary I Dallah, NP is a Nurse Practitioner in Colton, California. Qualified in 2024, 2 years ago. Practices with Inland Psychiatric Medical Group Inc, a 121-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-1800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95034751 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95183118 (CA)

Record details

NPI number1477123149
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 25, 2021
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Inland Psychiatric Medical Group Inc — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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