Miguel Dominguez MD a Professional Corporation

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G64086 Issued in CA

Legal business name

MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION

Practice address

18102 Irvine Blvd
Suite 208
Tustin, CA 92780-3402

Phone

(714) 371-9000

Fax

(714) 730-2720

NPI assigned

Jun 29, 2007

Last updated

Jan 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carolyn Hubay

Title

Office Manager

Phone

(714) 371-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Miguel A Dominguez, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tustin, CA
  • NPI 1235170556

  O20050131001097

  Same enrollment

Tax ID family

Miguel Dominguez MD a Professional Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Miguel Dominguez MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • El Monte, CA
  • NPI 1144595067
  NPD tax ID
• Miguel Dominguez MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Tustin, CA
  • NPI 1639444292
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Miguel Dominguez MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • El Monte, CA
  • NPI 1144595067
  NPPES parent name
• Miguel Dominguez MD, a Professional Corporation

  • Non-Pharmacy Dispensing Site
  • Tustin, CA
  • NPI 1639444292
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miguel A Dominguez, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tustin, CA
  • NPI 1235170556
  Medicare reassignment NPD
• Uzma Nasim, M.D

  • Neurology Physician
  • Tustin, CA
  • NPI 1548217052
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1063619310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-371-9000",
            "fax_number": "714-730-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 IRVINE BLVD",
            "address_2": "SUITE 208",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803402",
            "telephone_number": "714-371-9000",
            "fax_number": "714-730-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "HUBAY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-371-9000"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G64086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jimenez (Infinity Therapy Services)
• Michelle Weaver
• Margaret Gayle Mickelson, LMFT, ATR
• Mid-Wilshire Health Care Center, Inc (Tustin Care Center)
• Michael Migdat, LCSW
• Miguel Dominguez MD, a Professional Corporation
• Edward Miguel
• Mihai Kiss DDS Inc. (Kiss Dental)
• Mili Patel DDS Inc (OC Graceful Smiles)
• Karen Millan

• Pain Medicine (Anesthesiology) Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.