Pedro Domingo-Foraste M.D. Inc.,

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G53343 Issued in CA

Legal business name

PEDRO DOMINGO-FORASTE M.D. INC.,

Doing business as

INTER-AMERICAN MEDICAL GROUP.

Practice address

2256 Whittier Blvd
Los Angeles, CA 90023-1243

Phone

(323) 268-8511

Fax

(323) 268-0717

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dianne Domingo-Foraste, M.D.

Title

President

Phone

(323) 268-8511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INTER-AMERICAN MEDICAL GROUP. Doing business as

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1144356627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2256 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231243",
            "telephone_number": "323-268-8511",
            "fax_number": "323-268-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2256 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900231243",
            "telephone_number": "323-268-8511",
            "fax_number": "323-268-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO DOMINGO-FORASTE M.D. INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "DOMINGO-FORASTE",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-268-8511",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G53343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70430Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTER-AMERICAN MEDICAL GROUP.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Guadalupe Cruz Pedrano, M.D.
• Autumn Navarro Pedranti
• Angel Pedraza
• Jesse Pedraza
• Vanessa Pedraza
• Angelica Pedro
• Magdalena Jose Pedro
• Natalie Pedroza-Lozano
• Alyssa Pedroza
• Amy Pedroza

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.