Active NPI
Caleb Dominguez, B.S., CET, CPT
- Specialist
- Chula Vista, CA
National Provider Identifier
1346514965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1023145
- Practice address
- 1009 Oak Hill Dr
Chula Vista, CA 91915-1409 - Phone
- (619) 254-2021
- NPI assigned
- Feb 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1023145 | CA | Primary |
Addresses
Primary practice location
1009 Oak Hill Dr
Chula Vista, CA 91915-1409
Mailing address
1009 Oak Hill Dr
Chula Vista, CA 91915-1409
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1023145 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1346514965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 OAK HILL DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 OAK HILL DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151409",
"telephone_number": "619-254-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "CALEB",
"credential": "B.S., CET, CPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-29",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "1023145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.