DOMINIC ENGRACIA
NPI 1740749993
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Dominic Engracia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1396287082 (California)
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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.
Which organization bills Medicare for Dominic Engracia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Engracia reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominic Engracia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dominic Engracia · NPI 1740749993
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 18, 2019.
## Identity
- **NPI:** 1740749993 (Entity type: Individual)
- **Enumerated:** March 18, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033-1029
- **Phone:** (323) 409-7556
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1134151657, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740749993) · Data from the CMS NPPES public registry.