Decorated Domes

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DECORATED DOMES

Practice address

216 Eagle LN
Palmdale, CA 93551-3613

Phone

(310) 435-0266

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

China UpshawNPI 1225899867

Title

Owner

Phone

(310) 435-0266

Specialties & licenses 2

Addresses

Other names 1

• Fine Chinas Town INC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• China Upshaw

  • Prosthetics Case Management
  • Marietta, GA
  • NPI 1225899867
  NPD Authorized official

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1396506937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1393",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 EAGLE LN",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513613",
            "telephone_number": "310-435-0266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Ernest W. Narrett Pkwy NW #4015",
            "address_2": "Ste 117",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30066",
            "country_code": "US",
            "telephone_number": "310-435-0266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DECORATED DOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A",
        "authorized_official_last_name": "UPSHAW",
        "authorized_official_first_name": "CHINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-435-0266"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fine Chinas Town INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Khristine Anne Faraon De Rosales
• Pamela Dewar De Silva, MD
• Stefania De Sousa
• Lois Anita De Tar, MFT
• Lisa Debonoir, NA
• Nana I Deeb, MD
• Daisy C Dejesus
• Jan Richel Comeros Del Castillo
• Jesse Josue Del Rio
• Lizeth Delatorre

• Prosthetic/Orthotic Supplier in Palmdale, CA
• Providers in Palmdale, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.