Macario L. Domaguing Jr M.D. Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37893 Issued in CA

Legal business name

MACARIO L. DOMAGUING JR M.D. INC

Practice address

648 Rancho Los Nogales Dr
Covina, CA 91724-3351

Phone

(626) 862-3584

Fax

(626) 331-1839

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Macario L Domaguing Jr. Jr., MD

Title

MD Owner

Phone

(626) 335-4129

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• M.L.DOMAGUING,JR.M.D. Other name

Locations

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424995200000",
    "number": "1336255694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 RANCHO LOS NOGALES DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243351",
            "telephone_number": "626-862-3584",
            "fax_number": "626-331-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 RANCHO LOS NOGALES DR",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243351",
            "telephone_number": "626-862-3584",
            "fax_number": "626-331-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACARIO L. DOMAGUING JR M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-02-27",
        "status": "A",
        "authorized_official_last_name": "DOMAGUING  JR.",
        "authorized_official_first_name": "MACARIO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "626-335-4129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W22352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M.L.DOMAGUING,JR.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Covina, CA
• Providers in Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.