Individual provider Active NPI

Isabel Alexandra Ribeiro Caldas Domingues, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1023367216
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A132160 Issued in CA
Practice address
140 Arbor Dr
#0851
San Diego, CA 92103-2007
Phone
(619) 543-6387
NPI assigned
Sep 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A132160 CA Primary

Addresses

Primary practice location

140 Arbor Dr
#0851
San Diego, CA 92103-2007

Mailing address

140 Arbor Dr
#0851
San Diego, CA 92103-2007
Phone (619) 543-6387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513002094 CA Practitioner - Psychiatry 5799074795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 249-6753

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
132160CAMDMarriage & Family Therapist
A132160CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jun 30, 2016 Accepting new patients
Regents of the University of California Psychiatry CurrentSince Jun 30, 2016 Accepting new patients

Locations

8950 Villa La Jolla Dr
Ste C101
La Jolla, CA 92037
Phone (858) 249-1680

File 57326
Los Angeles, CA 90074

140 Arbor Dr
#851
San Diego, CA 92103
Phone (619) 543-6140

140 Arbor Dr
San Diego, CA 92103
Phone (619) 299-3510

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1023367216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR",
            "address_2": "#0851",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-543-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ARBOR DR",
            "address_2": "#0851",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032007",
            "telephone_number": "619-543-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO CALDAS DOMINGUES",
        "first_name": "ISABEL",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-03",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.