DOUGLAS LOUIS PRISCO MD. NPI 1154537058

NPI Information

NPI: 1154537058
Provider Name: DOUGLAS LOUIS PRISCO, MD.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Organization: PROVIDENCE FACEY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
11333 SEPULVEDA BLVD
MISSION HILLS, CA
ZIP 91345
Phone: (818) 365-9531
Get Directions

Douglas Louis Prisco, MD. is a pulmonary disease internal medicine in Mission Hills, CA with 22 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Douglas Louis Prisco, MD. NPI is 1154537058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11333 SEPULVEDA BLVD
MISSION HILLS, CA
ZIP 91345-116
Phone: (818) 365-9531

The NPI 1154537058 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 4/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	236893	NEW YORK	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	236893	NEW YORK	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	A108810	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W18762	OTHER	CALIFORNIA	GROUP MEDICARE
2	CG030Y	MEDICARE PIN	CALIFORNIA
3	GR0100430	OTHER	CALIFORNIA	GROUP MEDICAL
4	00A1088100	MEDICAID	CALIFORNIA
5	1902846306	OTHER	CALIFORNIA	GROUP NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »