DR. BENJAMIN DOMINGO DACULA MD NPI 1295762326

NPI Information

NPI: 1295762326
Provider Name: DR. BENJAMIN DOMINGO DACULA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP

PECOS Registration: Yes

Address:
4502 E AVENUE S
PALMDALE, CA
ZIP 93552
Phone: (877) 554-4404
Get Directions

DR. Benjamin Domingo Dacula, MD is a family medicine in Palmdale, CA with 36 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Benjamin Domingo Dacula, MD NPI is 1295762326. 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:

4502 E AVENUE S
PALMDALE, CA
ZIP 93552-480
Phone: (877) 554-4404

The NPI 1295762326 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 6/26/2006 and was last updated on 11/29/2021.

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	License Number	License State	Primary
1	207Q00000X	Family Medicine	40182	KENTUCKY	No
2	207Q00000X	Family Medicine	25149	OKLAHOMA	No
3	207Q00000X	Family Medicine	C54857	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	C54857	OTHER	CALIFORNIA	MEDICAL LICENSE
2	25149	OTHER	OKLAHOMA	MEDICAL LICENSE
3	40182	OTHER	KENTUCKY	MEDICAL LICENSE

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 »