Dianne Domingo-Foraste, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G53343 Issued in CA

Practice address

2256 Whittier Blvd
Los Angeles, CA 90023-1243

Phone

(323) 268-8511

Fax

(323) 268-0717

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Astrana Care Hospitalists, a Medical Corporation

  • Hospitalist Physician
  • Alhambra, CA
  • NPI 1265658595
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376803",
    "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": {
        "last_name": "DOMINGO-FORASTE",
        "first_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G53343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ70430Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathlyn Doma
• Tricia Jane Rivera Domalanta
• Sarah Martin Domb, M.D.
• Alex Matthew Dombrower, MD
• Stephanie Marie Dombrowski, NP-C
• Dwayne Domingo
• Karen Domingo, ACSW
• Sonae P. Domingo
• Danya Samantha Dominguez de Anda
• Miriam Dominguez Martinez

• 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 Jul 8, 2007; 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.