NPI

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NPI 1083817258

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-06-06
Last updated
2020-08-22

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Specialties

Licenses

License CA
100000702

Location

Practice location
22801 N Sowles Rd
City
Acampo CA
Postal code
95220-9608
Phone
(209) 366-2119

Organization contact

Name
Dominador Pajarito
Title
Licensee
Phone
(925) 383-4512

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Acampo, CA. 18 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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