Domenic Signorelli, D.P.M.

Primary specialty

Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X

License

E 4065 Issued in CA

Practice address

1125 E 17TH St
Suite E101
Santa Ana, CA 92701-2201

Phone

(714) 543-3500

Fax

(866) 379-7438

NPI assigned

Nov 29, 2006

Last updated

Jul 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Better Health a Medical Group, Inc.

  • Orthopaedic Surgery Physician
  • Costa Mesa, CA
  • NPI 1407011463
  NPD (past)
• Psychological Health Associates

  • Psychologist
  • Costa Mesa, CA
  • NPI 1871872747
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1053488676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 KATELLA AVE",
            "address_2": "400",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906802803",
            "telephone_number": "714-543-3500",
            "fax_number": "866-379-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE E101",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-543-3500",
            "fax_number": "866-379-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORELLI",
        "first_name": "DOMENIC",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "E4065",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "E 4065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Joseph Sieve III, O.D.
• Brandon S. Sievers, M.D.
• Eliza Delfina Sifuentes
• Timothy Alan Sigafoos
• Sight Concepts Optometry
• Gabrielle Lyn Siguenza, MS
• Pierce Sihotang, PTA
• Philip Silao
• Eric Peter Siles
• Annette Silva

• Orthopaedic Foot and Ankle Surgery Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Orthopaedic Foot and Ankle Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.