Individual provider Active NPI

Dominic A Munafo, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1174861033
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
A046193 Issued in CA
Practice address
5471 Kearny Villa Rd Ste 200
San Diego, CA 92123-1143
Phone
(619) 299-6299
Fax
(619) 299-6222
NPI assigned
Jan 27, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A046193 CA Primary

Addresses

Primary practice location

5471 Kearny Villa Rd Ste 200
San Diego, CA 92123-1143

Mailing address

5471 Kearny Villa Rd Ste 200
San Diego, CA 92123-1143
Phone (866) 801-9440

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A046193CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Data Holdings, LLC PastSince Sep 1, 2011 Accepting new patients
Sleep Data, Inc. PastSince Mar 14, 2011 Accepting new patients

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": "1359244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1174861033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231143",
            "telephone_number": "866-801-9440",
            "fax_number": "619-299-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 KEARNY VILLA RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231143",
            "telephone_number": "619-299-6299",
            "fax_number": "619-299-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAFO",
        "first_name": "DOMINIC",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-27",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A046193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.