Dora Kissi, is a
Advanced Practice Midwife based in San Bernardino, California. Dora Kissi is licensed to practice in California (license number 826) and her current practice location is
1428 N Waterman Ave Ste B, San Bernardino, California. She can be reached at her office (for appointments etc.) via phone at
(909) 888-7180.
NPI number for Dora Kissi is 1841550647 and her current mailing address is 1426 Tahoe St, Beaumont, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1841550647.
Provider's Profile
Full Name | Dora Kissi |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 1428 N Waterman Ave Ste B, San Bernardino, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1841550647
- Provider Enumeration Date: 05/25/2012
- Last Update Date: 06/01/2016
Medical Identifiers
Medical identifiers for Dora Kissi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841550647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 9051 (California) | Secondary |
367A00000X | Advanced Practice Midwife | 826 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dora Kissi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dora Kissi, 1426 Tahoe St, Beaumont, CA 92223-3158 Ph: (909) 435-9199 | Dora Kissi, 1428 N Waterman Ave Ste B, San Bernardino, CA 92404-5382 Ph: (909) 888-7180 |
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