Organization Active NPI

Citadel Clinical Nursing, Inc

Doing business as Citadel Clinical Group

  • Nurse Practitioner
  • Antioch, CA
National Provider Identifier
1770475519
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
CITADEL CLINICAL NURSING, INC
Doing business as
Citadel Clinical Group
Practice address
5183 Lone Tree Way
Antioch, CA 94531-8689
Phone
(415) 720-6489
NPI assigned
Jul 16, 2025
Last updated
Jul 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Dominick AmparanoNPI 1023797321
Title
Ceo
Phone
(415) 720-6489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

5183 Lone Tree Way
Antioch, CA 94531-8689

Mailing address

409 Springfield CT
Brentwood, CA 94513-2422
Phone (415) 720-6489

Other names 1

  • Citadel Clinical Group Doing business as

National Provider Directory

National Provider Directory

Locations

5183 Lone Tree Way
Antioch, CA 94531
Phone (415) 720-6489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1770475519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SPRINGFIELD CT",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132422",
            "telephone_number": "415-720-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5183 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318689",
            "telephone_number": "415-720-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITADEL CLINICAL NURSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "AMPARANO",
        "authorized_official_first_name": "DOMINICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-720-6489"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citadel Clinical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.