Individual provider Active NPI

Dana Dominguez

  • Surgical Oncology Physician
  • Chico, CA
National Provider Identifier
1083091425
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A146172 Issued in CA
Practice address
265 Cohasset Rd
Chico, CA 95926-2273
Phone
(530) 332-4700
NPI assigned
May 6, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X A146172 CA Primary

Addresses

Primary practice location

265 Cohasset Rd
Chico, CA 95926-2273

Mailing address

2235 3Rd St
Suite E106
San Francisco, CA 94107-2105

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
I20241106002000 CA Practitioner - Surgical Oncology 6709135494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
University of California, San Francisco School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

251 Cohasset Rd
Chico, CA 95926-2241
Phone (530) 332-4530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Coronary artery bypass graft (CABG)1-10
Melanoma (skin cancer) excision16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146172CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Specialty Physicians, Inc CurrentSince Nov 1, 2024 Accepting new patients
Enloe Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Enloe Medical Center CurrentSince Nov 1, 2024 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6325

251 Cohasset Rd
Chico, CA 95926
Phone (530) 332-4530

265 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3808

Interoperability endpoints

  • Direct secure messaging: ddominguez74367@enloedirect.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1083091425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 3RD ST",
            "address_2": "SUITE E106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COHASSET RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262273",
            "telephone_number": "530-332-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A146172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.