Domenick J Sisto M D Inc
Specialist
38660 Medical Center Drive, Suite A250, Palmdale
California, 93551-0000
661-267-7777 661-267-7101
Domenick J Sisto M D Inc is a Specialist in Palmdale, California. It is located at 38660 Medical Center Drive, Suite A250, Palmdale and it's customer support contact number is 661-267-7777. The authorized person of Domenick J Sisto M D Inc is Domenick J Sisto, M.D. who is President of this DME and his contact number is 818-905-2222. Active license number of Domenick J Sisto M D Inc is 061942-71 for Specialist in California. Domenick J Sisto M D Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Domenick J Sisto M D Inc is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
DME Supplier Details:
Domenick J Sisto M D Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Domenick J Sisto M D Inc |
| Type: | Specialist |
| Location: | 38660 Medical Center Drive, Suite A250, Palmdale,
California, 93551-0000 |
| Phone: | 661-267-7777 |
| Fax: | 661-267-7101 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Domenick J Sisto |
| Credentials: | M.D. |
| Position: | President |
| Contact Number: | 818-905-2222 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1710941539 |
| NPI Enumeration Date: | 17 Apr, 2006 |
| NPI Last Update On: | 27 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Domenick J Sisto M D Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialist | 061942-71 | California | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| ZZZ36984Z | Other | California | Blue Shield -lancaster |
| ZZZ36983Z | Other | California | Blue Shield-sherman Oaks |
| W11945B | Other | California | Medicare Id-valencia |
| DA0572 | Other | California | Railroad |
Medicare Enrollment:
Domenick J Sisto M D Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0648230292 | O20041018000646 | Domenick J Sisto M D Inc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4955 Van Nuys Blvd, Suite 615
Sherman Oaks, California |
| Zip: | 91403-1801 |
| Phone Number: | 818-905-2222 |
| Fax Number: | 818-905-8702 |
Patients can reach Domenick J Sisto M D Inc at
38660 Medical Center Drive, Suite A250, Palmdale, California or can
call on customer care at 661-267-7777.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.