Christopher A Dominguez, PA-C, M.M.S

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113025 Issued in FL

Practice address

280 SW Natura Ave
Deerfield Beach, FL 33441-3026

Phone

(888) 409-8006

Fax

(888) 486-0870

NPI assigned

Feb 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurospine Institute LLCGroup PAC ID 6608094792, 7 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Boca Medical Center Hospital, Boca Raton, FL, CCN 100268

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdominguez3276647@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurospine Institute LLC

  • Surgery Physician
  • Plantation, FL
  • NPI 1710306774
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Boca Medical Center, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1588697296
  Care Compare affiliation

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1508499146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N NOB HILL RD # 311",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241708",
            "telephone_number": "888-409-8006",
            "fax_number": "888-486-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 SW NATURA AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334413026",
            "telephone_number": "888-409-8006",
            "fax_number": "888-486-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "983 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330717048",
            "country_code": "US",
            "telephone_number": "888-409-8006",
            "fax_number": "888-486-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4050 W Broward Blvd",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333173767",
            "country_code": "US",
            "telephone_number": "888-409-8006",
            "fax_number": "888-486-0870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9325 Glades Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334343988",
            "country_code": "US",
            "telephone_number": "888-409-8006",
            "fax_number": "888-486-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "A",
        "credential": "PA-C, M.M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zionere Dolcine
• Zephaniah Dolo-Bass
• Brynn Ashley Dombroski, PHD, MED, BCBA, LBA
• Jessica Katrice Domineck
• Elaine Dominguez Orozco
• Christopher Sean Dominick
• Amy Dominique
• Ann Marie Donaghy
• Donald J Willems, DO
• Arianna Donato

• Physician Assistant in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.