Organization Active NPI

Dominique G, Engel, MD Inc

  • Neurological Surgery Physician
  • Oroville, CA
National Provider Identifier
1497992531
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
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

Updated by the provider on Jan 12, 2009

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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000G76800MedicaidCA
000G76801MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.