LUCIA L. DATTOMA MD – NPI #1164628384
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

LUCIA DATTOMA is a physician located in SIMI VALLEY, CA. NPPES has assigned the NPI number 1164628384 to LUCIA DATTOMA on June 25, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Aug 14, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LUCIA DATTOMA below.

NPI Profile for
LUCIA L. DATTOMA

NPI Number
1164628384
Enumeration Date

(about 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LUCIA L. DATTOMA
Credentials
MD
Primary location
2655 1ST ST STE 360
SIMI VALLEY, CA 93065-1581
Phone: (805) 583-7640 Fax: (805) 583-7641
Mailing address
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for LUCIA DATTOMA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00A878090
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 CA A87809

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LUCIA DATTOMA is affiliated with the following medical group(s):
  • HOSPITAL
    • RONALD REAGAN UCLA MEDICAL CENTER
      757 WESTWOOD PLAZA
      LOS ANGELES, CA 90095
    • SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL
      1250 16TH STREET
      SANTA MONICA, CA 90404
    • SIMI VALLEY HOSPITAL & HEALTH CARE SERVICES
      2975 N SYCAMORE DR
      SIMI VALLEY, CA 93065
  • HOME HEALTH AGENCY
    • ADVENTIST HEALTH/HOME CARE SERVICES
      2650 JONES WAY STE 26
      SIMI VALLEY, CA 93065
    • GOOD SHEPHERD HOME HEALTH, LLC
      18623 VENTURA BLVD SUITE 205
      TARZANA, CA 91356
    • NEIGHBOR CARE HOME HEALTH
      2955 E HILLCREST DRIVE, SUITE 123
      WESTLAKE VILLAGE, CA 91362
  • NURSING HOME
    • MARY HEALTH OF THE SICK CONVALESCENT & NURSING HOS
      2929 THERESA DRIVE
      NEWBURY PARK, CA 91320
    • OAKVIEW SKILLED NURSING
      3557 CAMPUS DR
      THOUSAND OAKS, CA 91360
  • HOSPICE
    • ACCESS TLC HOSPICE
      5400 ATLANTIS COURT
      MOORPARK, CA 93021
    • BUENA VISTA HOSPICE
      2545 W HILLCREST DR STE 130
      THOUSAND OAKS, CA 91320

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