Domenick J Sisto, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G52313 Issued in CA

Practice address

4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1801

Phone

(818) 905-2222

Fax

(818) 905-8702

NPI assigned

Apr 19, 2006

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Orthopedic Surgery

Education

George Washington University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Domenick J Sisto M D IncGroup PAC ID 0648230292, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promed Home Health Care, Inc. Home health agency, Sherman Oaks, CA, CCN 753178
• Sherman Oaks Hospital Hospital, Sherman Oaks, CA, CCN 050755
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Merit-based Incentive Payment System (MIPS)

Final score

86.93 of 100Reported as group

Quality

83.47

Improvement activities

40

Cost

61.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJEEDD
• Direct secure messaging: dsisto@laoi1795.srs-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Domenick J Sisto M D Inc

  dba Los Angeles Orthopaedic Institute

  • Specialist
  • Palmdale, CA
  • NPI 1710941539
  Medicare reassignment Care Compare group NPD Authorized official
• Deanco Healthcare LLC.

  dba Mission Community Hospital

  • Psychiatric Hospital Unit
  • Panorama City, CA
  • NPI 1013061597
  NPD (past)
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lancaster Hospital Corporation

  dba Palmdale Regional Medical Center

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation
• Prime Healthcare Services - Sherman Oaks, LLC

  dba Sherman Oaks Hospital

  • General Acute Care Hospital
  • Sherman Oaks, CA
  • NPI 1750491247
  Care Compare affiliation
• Promed Home Health Care Inc

  • Home Health Agency
  • Sherman Oaks, CA
  • NPI 1770150369
  Care Compare affiliation

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1568427029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 615",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-905-2222",
            "fax_number": "818-905-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 615",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031801",
            "telephone_number": "818-905-2222",
            "fax_number": "818-905-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTO",
        "first_name": "DOMENICK",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G52313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD CARRIER",
            "identifier": "DA0572",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Wai Kei Sin, M.S., CCC-SLP
• Sinai Medical Transportation LLC
• Pamela M Singer, PSY.D.
• Rylee Singer
• Stepanka Sipova, CMT, NMT
• Dominique Sisto, PA-C
• Somaly Sith, FNP
• Six Day Weight Loss Medical Corporation
• Skylar Hospice Care, Inc.
• James Robert Sloan, OD

• Specialist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.