Active NPI
Dominick Figueroa, MD
- Pediatrics Physician
- Long Beach, CA
National Provider Identifier
1487997334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A162689
- Practice address
- 500 W Willow St Ste 101
Long Beach, CA 90806-2831 - Phone
- (562) 427-1700
- NPI assigned
- Mar 28, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME128274 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A162689 | CA | Primary |
Addresses
Primary practice location
500 W Willow St Ste 101
Long Beach, CA 90806-2831
Mailing address
500 W Willow St Ste 101
Long Beach, CA 90806-2831
Phone (562) 427-1700
Other practice location 1
3100 SW 62nd Ave
Miami, FL 33155-3009
Phone (305) 666-6511
Other practice location 2
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone (505) 722-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A162689 | CA | MD | Pediatrics Physician |
| ME128274 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health System - Southern California | Past | Accepting new patients |
Interoperability endpoints
- dfigueroa743445@direct.memorialcare.org
- dfigueroa1788126@oc.providencedirect.org
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.
-
- General Acute Care Hospital
- Mission Hills, CA
- NPI 1477587632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1487997334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W WILLOW ST STE 101",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062831",
"telephone_number": "562-427-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W WILLOW ST STE 101",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908062831",
"telephone_number": "562-427-1700"
}
],
"practiceLocations": [
{
"address_1": "3100 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331553009",
"country_code": "US",
"telephone_number": "305-666-6511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "516 E Nizhoni Blvd",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873015748",
"country_code": "US",
"telephone_number": "505-722-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIGUEROA",
"first_name": "DOMINICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-28",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME128274",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A162689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.