Dominick Addario, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

G21620 Issued in CA

Practice address

3010 1St Ave
San Diego, CA 92103-5816

Phone

(619) 295-2189

Fax

(619) 295-2362

NPI assigned

Apr 17, 2007

Last updated

Feb 16, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ernest V. de Guzman, M.D., a Professional Corporation

  • Community/Behavioral Health Agency
  • San Diego, CA
  • NPI 1174703904
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1649496092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035816",
            "telephone_number": "619-295-2189",
            "fax_number": "619-295-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 1ST AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035816",
            "telephone_number": "619-295-2189",
            "fax_number": "619-295-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDARIO",
        "first_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "CA",
            "license": "G21620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronika Adan-Ojeda
• Dominique Adan
• Leeann Adan, R.N.
• Perisha Adapa, RPH
• Adaptive Roots
• Kheriya Adde
• Mustaf Sufi Adde
• John Deryl Adderson, M.D.
• Addie's Autism Fitt
• Addie's Autismfitt Club

• Forensic Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Forensic Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.