Dominique Sisto, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

52023 Issued in CA

Practice address

4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1801

Phone

(818) 905-2222

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.93 of 100Reported as group

Quality

83.47

Improvement activities

40

Cost

61.8

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Domenick J Sisto M D Inc

  dba Los Angeles Orthopaedic Institute

  • Specialist
  • Palmdale, CA
  • NPI 1710941539
  Medicare reassignment

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1225431992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24719 LONG VALLEY RD",
            "city": "HIDDEN HILLS",
            "state": "CA",
            "postal_code": "913021261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 615",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-905-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTO",
        "first_name": "DOMINIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sinai Medical Transportation LLC
• Pamela M Singer, PSY.D.
• Rylee Singer
• Stepanka Sipova, CMT, NMT
• Domenick J Sisto, M.D.
• Somaly Sith, FNP
• Six Day Weight Loss Medical Corporation
• Skylar Hospice Care, Inc.
• James Robert Sloan, OD
• SM Med Corp, Apc

• Physician Assistant in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.