Active NPI
Healthy You
- Family Medicine Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTHY YOU
- Practice address
- 1760 E Pecos Rd Ste 431
Gilbert, AZ 85295-3209 - Phone
- (480) 237-3451
- Fax
- (480) 499-5666
- NPI assigned
- Jun 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Omar L. Dominique, MD
- Title
- Owner/President
- Phone
- (872) 212-7966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1760 E Pecos Rd Ste 431
Gilbert, AZ 85295-3209
Mailing address
1760 E Pecos Rd Ste 431
Gilbert, AZ 85295-3209
Phone (872) 212-7966
Other practice location 1
9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (480) 770-3967
Other practice location 2
7828 S Hoyne Ave
Chicago, IL 60620-5741
Phone (480) 770-3967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770996050 | Other | MS | NPI |
| 02887009 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2309021 | Healthy You Primary Care | Certificate of waiver | Aug 7, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hospitalist Physician
- Gilbert, AZ
- NPI 1770996050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736553600000",
"number": "1407472467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E PECOS RD STE 431",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953209",
"telephone_number": "872-212-7966",
"fax_number": "480-499-5666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 E PECOS RD STE 431",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852953209",
"telephone_number": "480-237-3451",
"fax_number": "480-499-5666"
}
],
"practiceLocations": [
{
"address_1": "9700 N 91st St Ste A115",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852585036",
"country_code": "US",
"telephone_number": "480-770-3967",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7828 S Hoyne Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606205741",
"country_code": "US",
"telephone_number": "480-770-3967",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEALTHY YOU",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-24",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A",
"authorized_official_last_name": "DOMINIQUE",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "872-212-7966",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1770996050",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02887009",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2025; 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.