NPIMap

Individual provider Active NPI

Gilbert Ryan Dominguez, M.D.

  • Family Medicine Physician
  • La Jolla, CA
National Provider Identifier
1275601478
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75306 Issued in CA
Practice address
9850 Genesee Ave
Suite 810
La Jolla, CA 92037-1224
Phone
(858) 450-1212
Fax
(858) 453-9271
NPI assigned
Dec 4, 2006
Last updated
Mar 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A75306 CA Primary

Addresses

Primary practice location

9850 Genesee Ave
Suite 810
La Jolla, CA 92037-1224

Mailing address

9850 Genesee Ave
Suite 810
La Jolla, CA 92037-1224
Phone (858) 450-1212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202001261 CA Practitioner - General PracticePractitioner - Family Practice 9133012487 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: La Jolla, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Medical College of Pennsylvania, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Temecula Medical CorporationGroup PAC ID 8022394071, 2 clinicians

Practice addresses (Care Compare)

41715 Winchester Rd
Suite 101
Temecula, CA 92590-4853
Phone (951) 308-4451

9850 Genesee Ave
Suite 810
La Jolla, CA 92037-1219
Phone (858) 450-1212

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as individual
Quality
68.99
Promoting interoperability
100
Improvement activities
40
Cost
72.12

Merit-based Incentive Payment System (MIPS)

Final score
87.45 of 100Reported as apm
Quality
74.21
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75306CAMDPharmacist
A75306CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Temecula Medical Corporation CurrentSince May 15, 2017 Accepting new patients
Scripps Health Past Accepting new patients

Locations

295 S Rancho Santa Fe Rd
San Marcos, CA 92078
Phone (760) 471-1111

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

41715 Winchester Rd
Ste 202
Temecula, CA 92590
Phone (951) 296-0788

Interoperability endpoints

  • Direct secure messaging: gdominguez28258@scrippshlth.medalliesdirect.net
  • Direct secure messaging: gilbert.dominguez.1@24997.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 3

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 5

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1275601478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 810",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-450-1212",
            "fax_number": "858-453-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE",
            "address_2": "SUITE 810",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371224",
            "telephone_number": "858-450-1212",
            "fax_number": "858-453-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "GILBERT",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.