Edmond Sto Domingo De Jesus, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

77939 Issued in CA

Practice address

216 Westlake Ctr
Daly City, CA 94015-1430

Phone

(650) 756-4535

NPI assigned

May 14, 2018

Last updated

May 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1730679978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 S EMPIRE ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928042459",
            "telephone_number": "714-512-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 WESTLAKE CTR",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151430",
            "telephone_number": "650-756-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "EDMOND",
        "middle_name": "STO DOMINGO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Davidson, PSY.D.
• Nevaeh Davidson
• Hilary S Davis, MFT
• Gecelle Lumampao De Guia, DO
• Maria Melisa Malabanan De Guzman
• Amanda De Souza
• Teresa Deanda
• Teresita Yee Degamo, MD
• Karina Ann Del Real
• Bonita Dela Rama, D.D.S.

• Pharmacist in Daly City, CA
• Providers in Daly City, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.