MRS. MAILI VELEZ-DALLA TOR (M.D.) – Family Medicine Physician, NPI 1992763619
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for MRS. MAILI VELEZ-DALLA TOR (M.D.)
1135 S SUNSET AVE STE 401
WEST COVINA, CA 917903921
Phone: (626) 732-8391
Type: Location
1770 N Orange Grove Ave
Suite101
Pomona, CA 917673027
Phone: (909) 469-9494
Fax: (909) 620-7285
Type: Location
1770, Orange Grove Avenue, Pomona, Los Angeles County, California, 91767, United States
SUITE101
POMONA, CA 917673027
Phone: (909) 469-9494
Fax: (909) 620-7285
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($40).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $40 |
| Phadia US Inc. | $19 |
| Dexcom, Inc. | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051216000750 | I | Family Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 49 | 25 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 16 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 91790)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | RI | |
| Family Practice | CA | |
| Family Practice | CA | |
| O P T O M E T R Y | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| Physician Assistant | CA | |
| Family Practice | CA | |
| Family Practice | CA |
Reviews
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