Active NPI
Sheila Domantay Smith, L.AC.
- Acupuncturist
- Vista, CA
National Provider Identifier
1104138189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 13152
- Practice address
- 1587 Madrid Dr
Vista, CA 92081-5005 - Phone
- (760) 539-2035
- NPI assigned
- Jul 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 13152 | CA | Primary |
Addresses
Primary practice location
1587 Madrid Dr
Vista, CA 92081-5005
Mailing address
1587 Madrid Dr
Vista, CA 92081-5005
Phone (760) 539-2035
Other names 1
- Ms. Sheila Estabillo Domantay
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1104138189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 MADRID DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920815005",
"telephone_number": "760-539-2035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1587 MADRID DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920815005",
"telephone_number": "760-539-2035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHEILA",
"middle_name": "DOMANTAY",
"name_prefix": "Mrs.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-08",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHEILA",
"last_name": "DOMANTAY",
"middle_name": "ESTABILLO",
"prefix": "MS.",
"credential": "L.AC.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.