Geena Dagala, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95007818 Issued in CA

Practice address

Clinic of Manuel F Mendoza, MD
11735 Firestone Blvd
Norwalk, CA 90650

Phone

(562) 925-7716

NPI assigned

Oct 24, 2017

Last updated

Jul 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Snooky Genalin Dagala Former name

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manuel F Mendoza MD IncGroup PAC ID 9537244769, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: sdagala@manuelfmendozamdinc.adaptamed.direct-ci.com

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.

• Manuel F. Mendoza, M.D., Inc

  dba Mendoza Medical Clinic

  • Family Medicine Physician
  • Norwalk, CA
  • NPI 1942416045
  Medicare reassignment Care Compare group NPD
• Feliciano Navalta Jr., M.D. a Medical Corporation

  • Medical Specialty Clinic/Center
  • Paramount, CA
  • NPI 1942485313
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1275044703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7659 GRANADA DR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINIC OF MANUEL F MENDOZA, MD",
            "address_2": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "90650",
            "telephone_number": "562-925-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGALA",
        "first_name": "GEENA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007818",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95007818",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "749726",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SNOOKY",
            "last_name": "DAGALA",
            "middle_name": "GENALIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynob Pharmacy LLC
• Cyrus Khalili Chiropractic Corporation
• D Park Dental Corporation (Norwalk Dental Group)
• Angelica D'Agostino, OTR/L
• Shima Daftarian
• Jacob Alexander Dahneke I
• Ivan Dalton
• Noor M Damavandi, PHD
• Dan Hakjae Kim, a Professional Chiropractic Corporation
• Dan W. Lim D.D.S. Inc.

• Primary Care Nurse Practitioner in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2022; 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.