Larry M Dedonato, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT6429T Issued in CA

Practice address

1429 Main St
Delano, CA 93215-1726

Phone

(661) 725-9771

Fax

(661) 725-2403

NPI assigned

Apr 21, 2006

Last updated

Apr 13, 2012By the provider in NPPES

Sex

Male

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1447216221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 MAIN ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151726",
            "telephone_number": "661-725-9771",
            "fax_number": "661-725-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 MAIN ST",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932151726",
            "telephone_number": "661-725-9771",
            "fax_number": "661-725-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDONATO",
        "first_name": "LARRY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6429T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Babita Datta, MD
• Madison Davis
• Michelle De la Garza, PSYD
• Debbie Dennis-Johnson MD Inc.
• Dedicated Dental Systems Inc (Dedicated Dental Delano)
• Maria Cecilia Sogueco Dee, RPH
• Amanda Del Rosario
• Kenneth Duque Dela Cruz
• Delano Acupuncture & Chiropractic Center
• Delano Adult Day Health Care Center

• Optometrist in Delano, CA
• Providers in Delano, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.