Individual provider Active NPI

David Michael Doriguzzi, PA-C

  • Medical Physician Assistant
  • Lancaster, CA
National Provider Identifier
1730195728
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16586 Issued in CA
Practice address
44725 10TH St W
Ste 210
Lancaster, CA 93534-3033
Phone
(661) 948-6011
Fax
(661) 949-8686
NPI assigned
Jul 31, 2006
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA16586 CA Primary

Addresses

Primary practice location

44725 10TH St W
Ste 210
Lancaster, CA 93534-3033

Mailing address

44725 10TH St W
Ste 170
Lancaster, CA 93534-3000
Phone (661) 948-6011

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001181 CA Practitioner - Physician Assistant 7517959224 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA16586CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sivalingam Medical Corporation, Inc. CurrentSince Jun 11, 2020 Accepting new patients

Locations

43860 10th St W
Lancaster, CA 93534
Phone (661) 726-3058

44725 10th St W
Ste 170
Lancaster, CA 93534
Phone (661) 726-3724

44725 10th St W
Ste 210
Lancaster, CA 93534
Phone (661) 726-3058

Interoperability endpoints

  • Direct secure messaging: david.doriguzzi.1@23708.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23708/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1730195728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "STE 170",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343000",
            "telephone_number": "661-948-6011",
            "fax_number": "661-723-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "STE 210",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "661-948-6011",
            "fax_number": "661-949-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORIGUZZI",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.