Dominic Ermie Deogracias, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

95171961 Issued in CA

Practice address

9254 Winnetka Ave Apt 535
Chatsworth, CA 91311-8190

Phone

(424) 382-9829

NPI assigned

Jan 17, 2022

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

Other names 1

• Dominic Deogracias Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1811648207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9254 WINNETKA AVE APT 535",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913118190",
            "telephone_number": "424-382-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9254 WINNETKA AVE APT 535",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913118190",
            "telephone_number": "424-382-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEOGRACIAS",
        "first_name": "DOMINIC ERMIE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "95171961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOMINIC",
            "last_name": "DEOGRACIAS",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Anne De la Garza, LMFT
• Marissa Stormy De la Riva, LPT
• Ryan Drake Nepomuceno De Leon, DMD
• Carlo Deantonio, MD
• Deanna Debartolo
• Department of Mental Health
• Devine Hospice Care, Inc.
• Sonia Chopra Dhir
• Divine Touch Hospice Care Inc
• Lindsay Michelle Doering, DPT

• Ambulatory Care Registered Nurse in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Ambulatory Care Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.