Individual provider Active NPI

Domingo H Tiamzon Jr.

  • Phlebotomy Technician
  • Panorama City, CA
National Provider Identifier
1447046321
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
CPT01008933 Issued in CA
Practice address
7869 Ventura Canyon Ave Unit 202
Panorama City, CA 91402-6361
Phone
(818) 731-1009
NPI assigned
Apr 16, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X CPT01008933 CA Primary

Addresses

Primary practice location

7869 Ventura Canyon Ave Unit 202
Panorama City, CA 91402-6361

Mailing address

7869 Ventura Canyon Ave Unit 202
Panorama City, CA 91402-6361
Phone (818) 731-1009

Other names 1

  • Domingo H Tiamzon Jr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CPT01008933CAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Needles on Wheels Mobile Phlebotomy CurrentSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1447046321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7869 VENTURA CANYON AVE UNIT 202",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026361",
            "telephone_number": "818-731-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7869 VENTURA CANYON AVE UNIT 202",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026361",
            "telephone_number": "818-731-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIAMZON",
        "first_name": "DOMINGO",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "CA",
            "license": "CPT01008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINGO H",
            "last_name": "TIAMZON JR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.