Active NPI
Efigenia G Dominguez, DC, QME
- Chiropractor
- San Francisco, CA
National Provider Identifier
1093865909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 29049
- Practice address
- 2369 Ocean Ave
2ND Level
San Francisco, CA 94127-2615 - Phone
- (415) 239-9700
- Fax
- (408) 292-9476
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 29049 | CA | Primary |
Addresses
Primary practice location
2369 Ocean Ave
2ND Level
San Francisco, CA 94127-2615
Mailing address
2369 Ocean Ave
2ND Level
San Francisco, CA 94127-2615
Phone (415) 239-9700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5694837 | Other | CA | FIRST HEALTH PROVIDER NO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 29049 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093865909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2369 OCEAN AVE",
"address_2": "2ND LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941272615",
"telephone_number": "415-239-9700",
"fax_number": "408-292-9476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2369 OCEAN AVE",
"address_2": "2ND LEVEL",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941272615",
"telephone_number": "415-239-9700",
"fax_number": "408-292-9476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "EFIGENIA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC, QME",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 29049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER NO.",
"identifier": "5694837",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.