Active NPI
Dominique G, Engel, MD Inc
- Neurological Surgery Physician
- Oroville, CA
National Provider Identifier
1497992531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- DOMINIQUE G, ENGEL, MD INC
- Practice address
- 2767 Olive Hwy
Suite 16
Oroville, CA 95966-6118 - Phone
- (530) 533-3196
- Fax
- (830) 533-3370
- NPI assigned
- Jan 12, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dominique G Engel, MD
- Title
- Ceo
- Phone
- (530) 533-3196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
2767 Olive Hwy
Suite 16
Oroville, CA 95966-6118
Mailing address
2767 Olive Hwy
Suite 16
Oroville, CA 95966-6118
Phone (530) 533-3196
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G76800 | Medicaid | CA | |
| 000G76801 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
330 H St
Ste B
Marysville, CA 95901
Phone (530) 533-3196
2767 Olive Hwy
Ste 16
Oroville, CA 95966
Phone (530) 533-3196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1497992531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2767 OLIVE HWY",
"address_2": "SUITE 16",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666118",
"telephone_number": "530-533-3196",
"fax_number": "830-533-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2767 OLIVE HWY",
"address_2": "SUITE 16",
"city": "OROVILLE",
"state": "CA",
"postal_code": "959666118",
"telephone_number": "530-533-3196",
"fax_number": "830-533-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINIQUE G, ENGEL, MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "ENGEL",
"authorized_official_first_name": "DOMINIQUE",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-533-3196",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G76800",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G76801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oroville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.