Individual provider Active NPI

Karina Dominguez, P.T.

  • Physical Therapist
  • Pomona, CA
National Provider Identifier
1356387138
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
28721 Issued in CA
Practice address
1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
Phone
(909) 620-9700
NPI assigned
Jun 21, 2006
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 28721 CA Primary

Addresses

Primary practice location

1902 Royalty Dr Ste 170
Pomona, CA 91767-3030

Mailing address

1902 Royalty Dr Ste 170
Pomona, CA 91767-3030
Phone (909) 620-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000803 CA Practitioner - Physical Therapist in Private Practice 6608830187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Able Physical Therapy CorpGroup PAC ID 7315011285, 6 clinicians

Practice addresses (Care Compare)

1902 Royalty Dr
Suite 170
Pomona, CA 91767-3030
Phone (909) 620-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Able Physical Therapy Corp Physical Therapist CurrentSince Apr 23, 2008 Accepting new patients
Physical Rehabiliation Solutions Inc. Physical Therapist Past Accepting new patients
Trinh M Doan, Inc. Physical Therapist Past Accepting new patients
121 Rehab Physical Therapy Corp Physical Therapy Past Accepting new patients

Locations

101 E Lincoln Ave
Ste 111
Anaheim, CA 92805
Phone (714) 774-6502

480 S Indian Hill Blvd
Claremont, CA 91711
Phone (909) 620-9700

9470 Firestone Blvd
Downey, CA 90241
Phone (562) 401-4094

9530 Imperial Hwy
Ste A
Downey, CA 90242
Phone (562) 381-0877

1535 Deerpark Dr
Fullerton, CA 92831
Phone (714) 993-3222

12562 Garden Grove Blvd
Garden Grove, CA 92843
Phone (417) 534-1700

1902 Royalty Dr
#170
Pomona, CA 91767
Phone (909) 620-9700

1902 Royalty Dr
Ste 170
Pomona, CA 91767
Phone (909) 620-9700

550 Parkcenter Dr
Ste 105
Santa Ana, CA 92705
Phone (714) 855-3100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1356387138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR STE 170",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR STE 170",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KARINA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "28721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.