Individual provider Active NPI

Dominga Lim Rarugal Bermoy, DMD

  • General Practice Dentistry
  • Lawndale, CA
National Provider Identifier
1003098757
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38257 Issued in CA
Practice address
4310 Marine Ave
Lawndale, CA 90260-1528
Phone
(310) 748-1527
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38257 CA Primary

Addresses

Primary practice location

4310 Marine Ave
Lawndale, CA 90260-1528

Mailing address

4310 Marine Ave
Lawndale, CA 90260-1528
Phone (310) 748-1527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1003098757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MARINE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601528",
            "telephone_number": "310-748-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MARINE AVE",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601528",
            "telephone_number": "310-748-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMOY",
        "first_name": "DOMINGA",
        "middle_name": "LIM RARUGAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.