Shirley Domingo, M.D., Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SHIRLEY DOMINGO, M.D., INC.

Practice address

3939 J St Ste 305
Sacramento, CA 95819-3639

Phone

(310) 613-0275

Fax

(916) 672-0290

NPI assigned

Jan 11, 2019

Organization subpart

No

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

Authorized official

Name

Shirley Rose Ramiscal Domingo, MDNPI 1043331788

Title

Chief Executive Officer

Phone

(310) 613-0275

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Rose Ramiscal Domingo, M.D.

  • Surgery Physician
  • Modesto, CA
  • NPI 1043331788
  NPD Authorized official

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1386118404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 GUS WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST STE 305",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193639",
            "telephone_number": "310-613-0275",
            "fax_number": "916-672-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY DOMINGO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "SHIRLEY ROSE",
        "authorized_official_middle_name": "RAMISCAL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "310-613-0275",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Meena Shirazi
• Samantha Grace Shired
• Christopher Shirey, LPCC
• Ashley Shirhall, RD
• Forrest William Shirkey, PHARM.D.
• Cheryl Shirley, PA-C
• Christine Elizabeth Shirley, LMFT
• Jeanette Shirley
• Glenn Hiroaki Shironaka
• Mansour Shirzai, MD

• Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.