Individual provider Active NPI

Zita Alejandra Dominicis, DDS

  • General Practice Dentistry
  • Downey, CA
National Provider Identifier
1740647916
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
65348 Issued in CA
Practice address
8202 Florence Ave Ste 101
Downey, CA 90240-3937
Phone
(562) 861-8807
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 65348 CA Primary

Addresses

Primary practice location

8202 Florence Ave Ste 101
Downey, CA 90240-3937

Mailing address

8202 Florence Ave Ste 101
Downey, CA 90240-3937
Phone (562) 861-8807

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722000846 CA Order and Referring Only - DentistPractitioner - Dentist 0941593347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1740647916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 FLORENCE AVE STE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403937",
            "telephone_number": "562-861-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 FLORENCE AVE STE 101",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902403937",
            "telephone_number": "562-861-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICIS",
        "first_name": "ZITA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "65348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.