Provider Demographics
NPI:1730182643
Name:CURATOLA, DOMINICK A (MD)
Entity type:Individual
Prefix:
First Name:DOMINICK
Middle Name:A
Last Name:CURATOLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 SOUTH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4323
Mailing Address - Country:US
Mailing Address - Phone:650-969-6000
Mailing Address - Fax:650-969-6008
Practice Address - Street 1:205 SOUTH DR
Practice Address - Street 2:SUITE A
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4323
Practice Address - Country:US
Practice Address - Phone:650-969-6000
Practice Address - Fax:650-969-6008
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52137174400000X, 207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G521370Medicare ID - Type Unspecified
CAZZZ24970ZMedicare ID - Type UnspecifiedGROUP NUMBER
CACA112920Medicare PIN
CAA52178Medicare UPIN