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DOMINIQUE SISTO PA-C
NPI 1225431992
Physician Assistant in Sherman Oaks, CA

Active since October 08, 2014PECOS Enrolled
87.66/100
CMS Quality Rating
4955 VAN NUYS BLVD, SUITE 615, SHERMAN OAKS, CA 91403(818) 905-2222 Get Directions Write a Review

NPPES record last updated: October 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique Sisto Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE SISTO PA-C (NPI 1225431992) is an individual physician assistant in Sherman Oaks, California, licensed in California (52023) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225431992
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMINIQUE SISTOCredential: PA-C
Location Address4955 VAN NUYS BLVD, SUITE 615Sherman Oaks, CA 91403-1801
Mailing Address24719 Long Valley RdHidden Hills, CA 91302-1261
Phone(818) 905-2222
Sole ProprietorNo
Enumeration DateOctober 8, 2014
✔ NPI 1225431992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52023
Definition
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.
4955 VAN NUYS BLVD, Sherman Oaks, CA 91403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Sisto Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.74
Improvement Activities40
Cost51.88

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TOM VU DMD
Dentist
4955 VAN NUYS BLVD, SUITE #518
SHERMAN OAKS, CA 91403
Los Angeles County (818) 783-8891
ALI SHEYBANI MEDICAL INC.
Internal Medicine
4955 VAN NUYS BLVD, SUITE 405
SHERMAN OAKS, CA 91403
Los Angeles County (818) 464-4870
ANGELA CASTELLANO MD
Dermatology
4955 VAN NUYS BLVD, 516
SHERMAN OAKS, CA 91403
Los Angeles County (818) 789-6296
MRS. JABEEN FATIMA M.D
Family Medicine
4955 VAN NUYS BLVD, SUITE 415
SHERMAN OAKS, CA 91403
Los Angeles County (818) 528-1080
ARDENE J CUDIAMAT NP
Nurse Practitioner
4955 VAN NUYS BLVD, SUITE 411
SHERMAN OAKS, CA 91403
Los Angeles County (818) 784-7903
LAKESIDE MEDICAL ASSOCIATES A MEDICAL GROUP INC
Family Medicine
4955 VAN NUYS BLVD, SUITE 308
SHERMAN OAKS, CA 91403
Los Angeles County (818) 907-5088
DR. DANIEL HEMMATI D.D.S.
Dentist (General Practice)
4955 VAN NUYS BLVD, 716
SHERMAN OAKS, CA 91403
Los Angeles County (661) 803-4699
LARISSE K LEE M.D.
Surgery (Vascular Surgery)
4955 VAN NUYS BLVD, SUITE 704
SHERMAN OAKS, CA 91403
Los Angeles County (818) 325-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Sisto's NPI number?

The NPI number for Dominique Sisto is 1225431992. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Dominique Sisto located?

Dominique Sisto practices at 4955 Van Nuys Blvd Suite 615, Sherman Oaks, CA 91403. The listed phone number is (818) 905-2222.

What is Dominique Sisto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dominique Sisto enrolled in Medicare?

Yes. Dominique Sisto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominique Sisto was last updated on October 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.