Jaime David Dominguez-Cespedes, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00049366 Issued in WA

Practice address

908 10TH Ave SW
Quincy, WA 98848-1376

Phone

(509) 787-3531

Fax

(509) 787-2016

NPI assigned

Apr 26, 2007

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaime.dominguez-cespedes.1@15048.direct.athenahealth.com

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.

• Grant County Public Hospital District 2

  dba Quincy Valley Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quincy, WA
  • NPI 1659445468
  Medicare reassignment NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1306066790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 10TH AVE SW",
            "city": "QUINCY",
            "state": "WA",
            "postal_code": "988481376",
            "telephone_number": "509-787-3531",
            "fax_number": "509-787-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ-CESPEDES",
        "first_name": "JAIME",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00049366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "237692",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "237692",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CV",
            "identifier": "8947901",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8517237",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Cruz, MA-C
• Kris Davis, MA
• Desert Sun Dental
• Alexandra Diaz, BSN, RN
• Douglas R Diaz, P.T.
• Pamela Jean Duggan, MSW, LMHC
• Rebekah Marie Garfield, ARNP
• Irene Garza, MS
• Rachel Erin Gaspard, FNP-BC
• Kyle Morgan Gillespie, O.D.

• Internal Medicine Physician in Quincy, WA
• Providers in Quincy, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.