DOMENICK J SISTO M.D. NPI 1568427029

NPI Information

  • NPI: 1568427029
  • Provider Name: DOMENICK J SISTO, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4955 VAN NUYS BLVD
    SUITE 615
    SHERMAN OAKS, CA
    ZIP 91403
  • Phone: (818) 905-2222

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NPI Details

Domenick J Sisto, M.D. is a specialist in Sherman Oaks, CA with 51 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Domenick J Sisto, M.D. NPI is 1568427029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

4955 VAN NUYS BLVD
SUITE 615
SHERMAN OAKS, CA
ZIP 91403-801
Phone: (818) 905-2222
Fax: (818) 905-8702

The NPI 1568427029 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg (HCPCS:J7322)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose (HCPCS:J7321)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, 2 views (HCPCS:73100)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of forearm, 2 views (HCPCS:73090)
  • X-ray of upper spine, 4-5 views (HCPCS:72050)
  • Knee replacement (HCPCS:NAN06)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)

The enumeration date for this NPI number is 4/19/2006 and was last updated on 11/22/2011.

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
1174400000XSpecialistG52313CALIFORNIAYes

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
1B83724MEDICARE UPINCALIFORNIA
2WG52313CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3DA0572OTHERCALIFORNIARAILROAD CARRIER
4WG52313BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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: 11/21/2025

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