Dominic Dalaten Lomibao, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95013019 Issued in CA

Practice address

340 4TH Ave Ste 14
Chula Vista, CA 91910-3813

Phone

(619) 303-3681

NPI assigned

Jan 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Natalie Driessen, MD, Inc.

  • Plastic Surgery Physician
  • Palm Desert, CA
  • NPI 1356770515
  Medicare reassignment NPD
• Jabari Reeves MD Medical Corporation

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1942893425
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1467091827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9360 MONONA DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423910",
            "telephone_number": "619-303-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 14",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-303-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMIBAO",
        "first_name": "DOMINIC",
        "middle_name": "DALATEN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95013019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa H Lomahan, DDS
• Sheila Ann Loman, APNP
• Julika Lomas, MFTI
• Jorge Lomeli Sanchez-Alvarez
• Armando Lomeli
• Andrea Salas Lona
• Anne Magdalena Londo, RPH
• Cristinn Lynnae London
• Allie Nicole Long, DDS
• Chyenne Marie Long

• Nurse Practitioner in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.