DOMINIC ENGRACIA
NPI 1740749993
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominic Engracia NPPES

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

DOMINIC ENGRACIA (NPI 1740749993) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1740749993
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOMINIC ENGRACIA
Location Address1200 N STATE ST, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State St, Clinic Tower, Suite A7dLos Angeles, CA 90033-1029
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019
Enumeration DateMarch 18, 2019
NPI 1740749993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dominic Engracia is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486085610
PECOS Enrollment IDI20250926003777
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.

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.

Orthopaedic Surgery
1200 N STATE ST
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, #14-901
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE ST, ROOM 14-901
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE ST, INPT TOWER C3F107
LOS ANGELES, CA 90033
Respiratory Therapist, Certified (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered (Critical Care)
1200 N STATE ST
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033

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 Dominic Engracia's NPI number?

The NPI number for Dominic Engracia is 1740749993. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Dominic Engracia located?

Dominic Engracia practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

What is Dominic Engracia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dominic Engracia enrolled in Medicare?

Yes. Dominic Engracia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dominic Engracia was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.