Dominic Legaspi Pisigan, NP-C is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Diamond Bar, California. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
565 Charmingdale Rd, Diamond Bar, California. You can reach out to his office (for appointments etc.) via phone at
(626) 277-1434.
Dominic Legaspi Pisigan is licensed to practice in California (license number NP 23825) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285058727.
Provider's Profile
| Full Name | Dominic Legaspi Pisigan |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 565 Charmingdale Rd, Diamond Bar, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dominic Legaspi Pisigan graduated from nursing school in 2012
NPI Data:
- NPI Number: 1285058727
- Provider Enumeration Date: 02/04/2014
- Last Update Date: 10/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 5799908406
- Enrollment ID: I20140528000681
Medical Identifiers
Medical identifiers for Dominic Legaspi Pisigan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285058727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | NP 23825 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 7951 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dominic Legaspi Pisigan allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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| Entity Name | Mountain View Urgent Care Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023306784
PECOS PAC ID: 7214107861
Enrollment ID: O20110908002279 |
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| Entity Name | Jun R. Chiong, Md, Mph, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093099046
PECOS PAC ID: 5597925974
Enrollment ID: O20120321000723 |
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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. Dominic Legaspi Pisigan is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dominic Legaspi Pisigan, NP-C
565 Charmingdale Rd,
Diamond Bar, CA 91765-2131
Ph: (626) 277-1434 | Dominic Legaspi Pisigan, NP-C
565 Charmingdale Rd,
Diamond Bar, CA 91765-2131
Ph: (626) 277-1434 |
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