Tamara Jeanne Dominguez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J8519 Issued in TX

Practice address

4800 Fredericksburg Rd
Suite 127
San Antonio, TX 78229-3628

Phone

(210) 468-0800

Fax

(210) 733-8649

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442275200000",
    "number": "1104049592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LINDQUIST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 FREDERICKSBURG RD",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293628",
            "telephone_number": "210-468-0800",
            "fax_number": "210-733-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "TAMARA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2015-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Dominguez
• Rey Dominguez, DMD
• Roland Dominguez, MD
• Rosanne Dominguez
• Sarah Jamdar Dominguez, APRN, CPNP-AC
• Dominion Care Management Group, LLC
• Dominion Family Healthcare PLLC
• Dominion Health Services, LLC
• Dominion Pediatric Dentistry PLLC
• Domus Lifecare,LLC

• Family Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.