DOMINIQUE SISTO (NPI# 1225431992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225431992 |
| Entity Type | Individual |
| Full Name | DOMINIQUE SISTO |
| Credential | PA-C |
| Practice Address |
4955 Van Nuys Blvd Suite 615 Sherman Oaks CA 91403-1801 |
| Mailing Address |
24719 Long Valley Rd Hidden Hills CA 91302-1261 |
| Practice Telephone | 8189052222 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 52023 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4955 VAN NUYS BLVD SUITE 615 |
| City | SHERMAN OAKS |
| State | CA |
| Zip Code | 91403-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356479 | Timothy James Stacy | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2005-06-16 |
| 1265915367 | Jennifer Floyd | Physical Therapy Assistant | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2018-09-13 |
| 1801335609 | Sohail Parham A Prof Dental Corp | Dentist | 4955 Van Nuys Blvd, Ste 520, Sherman Oaks, CA 91403-1801 | 2017-02-14 |
| 1104368364 | Barbara Hibbits | Marriage & Family Therapist | 4955 Van Nuys Blvd, Suite 200, Sherman Oaks, CA 91403-1801 | 2016-11-04 |
| 1790237113 | Healing Compounds Inc | Pharmacy | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-11-02 |
| 1467903716 | Addison Asc LLC | Clinic/Center | 4955 Van Nuys Blvd, Suite 719, Sherman Oaks, CA 91403-1801 | 2016-10-21 |
| 1942664834 | Think and Be Treatment Center | Counselor | 4955 Van Nuys Blvd, Ste. 210, Sherman Oaks, CA 91403-1801 | 2016-04-07 |
| 1265893242 | Irina Binder | Pharmacist | 4955 Van Nuys Blvd, Sherman Oaks, CA 91403-1801 | 2016-03-17 |
| 1568827145 | Harold Perlaza Dds A Professional Dental Corporation | Dentist | 4955 Van Nuys Blvd, #202, Sherman Oaks, CA 91403-1801 | 2015-12-23 |
| 1902273576 | Vidya Vijay Nair | Nurse Practitioner | 4955 Van Nuys Blvd, Suite 502, Sherman Oaks, CA 91403-1801 | 2015-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1245844596 | Montage Recovery California | Psychiatric Residential Treatment Facility | 15367 Valley Vista Blvd, Sherman Oaks, CA 91403 | 2020-09-03 |
| 1053870741 | Quality Life Experience | Assistant Behavior Analyst | 4723 1/4 Vista Del Monte, Sherman Oaks, CA 91403 | 2019-03-13 |
| 1871092254 | Andrew Pascual | Hospitalist | 4929 Van Nuys Blvs, Sherman Oaks, CA 91403 | 2018-02-12 |
| 1063941466 | Nancy Green Satenberg | Counselor | 4419 Van Nuys Blvd Ste. 301, Sherman Oaks, CA 91403 | 2017-06-08 |
| 1710414875 | Jeffery Edward Havig | Registered Nurse | 1536 Mission St, San Francisco, CA 91403 | 2017-05-18 |
| 1700310885 | Judy Koutal | Behavioral Analyst | 15720 Sutton St, Apt 201, Sherman Oaks, CA 91403 | 2017-04-17 |
| 1043742133 | Christa Maria Eskelin | Marriage & Family Therapist | 4419 Van Nuys Blvd, Suite 400, Sherman Oaks, CA 91403 | 2017-03-29 |
| 1760841431 | Dent All By Dr. Z | Dentist | 15301 Ventura Blvd. Ste U-5, Sherman Oaks, CA 91403 | 2016-02-23 |
| 1821456286 | Liana Kogan | Speech-Language Pathologist | 14569 Benefit Street, #312, Sherman Oaks, CA 91403 | 2016-02-01 |
| Find all providers in zip 91403 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548890395 | Ashley Sara Donaghey | Physician Assistant | 13338 Magnolia Blvd, Sherman Oaks, CA 91423-1536 | 2020-01-21 |
| 1790349652 | Emily Luu | Physician Assistant | 4312 Woodman Ave Ste 102, Sherman Oaks, CA 91423 | 2019-04-25 |
| 1619461811 | Alexandria Skow | Physician Assistant | 4955 Van Nuys Blvd Ste 615, Sherman Oaks, CA 91403-1839 | 2018-06-20 |
| 1619481447 | Maria Sabau | Physician Assistant | 4251 Murietta Ave, Sherman Oaks, CA 91423-4224 | 2017-12-01 |
| 1053833772 | Christina Younan Tossoun | Physician Assistant | 4955 Van Nuys Blvd Ste 200, Sherman Oaks, CA 91403-1814 | 2017-07-14 |
| 1144671801 | Advanced Skincare Surgery & Med Center | Physician Assistant | 4675 Willis Ave Unit 305, Sherman Oaks, CA 91403-2606 | 2016-06-23 |
| 1093060386 | Mark Ashby | Physician Assistant | 13547 Ventura Blvd Ste 282, Sherman Oaks, CA 91423-3825 | 2012-07-23 |
| 1457681389 | Yana Pechenik | Physician Assistant | 13331 Moorpark St Apt 112, Sherman Oaks, CA 91423-3947 | 2009-12-24 |
| 1003012162 | Darcesean Gamble | Physician Assistant | 4955 Van Nuys Blvd Ste 411, Sherman Oaks, CA 91403-1824 | 2007-06-25 |
| 1073591491 | Lili Yunchien Yen | Physician Assistant | 4955 Van Nuys Blvd Ste 502, Sherman Oaks, CA 91403-1817 | 2006-01-05 |
| Find all providers in SHERMAN OAKS | ||||
| City | SHERMAN OAKS |
| Zip Code | 91403 |
Please comment or provide details below to improve the information on DOMINIQUE SISTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.