Domart Board and Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

198601875 Issued in CA

Legal business name

DOMART BOARD AND CARE

Practice address

13817 Domart Ave
Norwalk, CA 90650-3428

Phone

(562) 484-9134

Fax

(562) 484-9134

NPI assigned

Mar 30, 2016

Organization subpart

No

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

Authorized official

Name

Emma Teresita Lu

Title

Licensee/ Owner

Phone

(562) 229-2781

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1174986939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13817 DOMART AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503428",
            "telephone_number": "562-484-9134",
            "fax_number": "562-484-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13817 DOMART AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906503428",
            "telephone_number": "562-484-9134",
            "fax_number": "562-484-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMART BOARD AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "LU",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "TERESITA",
        "authorized_official_title_or_position": "LICENSEE/ OWNER",
        "authorized_official_telephone_number": "562-229-2781"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "198601875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF SOCIAL SERVICES - CCLD",
            "identifier": "198601875",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanca Dixon, COTA
• Tram DO, RPH
• Tuan Doan, D.D.S.
• Doctor Penelope Velasco Health Care Inc.
• Esperanza Dolphin
• Baylee Gabriela Dominguez
• Clarivel Dominguez, WELLNESS COACH
• Donald M. Gelb, M.D., Inc (Donald M. Gelb, M.D.)
• Siobhan Maureen Donovan, PSYD
• Anthony Dorse, M.D.

• Assisted Living Facility in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.