NPIMap

Individual provider Active NPI

Steven Dominguez, MD

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1699838375
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48186 Issued in CA
Practice address
3101 W Coast Hwy
St 300
Newport Beach, CA 92663-4001
Phone
(714) 761-3901
Fax
(714) 821-6392
NPI assigned
Dec 18, 2006
Last updated
Aug 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A48186 CA Primary

Addresses

Primary practice location

3101 W Coast Hwy
St 300
Newport Beach, CA 92663-4001

Mailing address

PO Box 4040
Downey, CA 90241-1040
Phone (714) 761-3901

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48186CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Derm-Aid, LLC CurrentSince Dec 2, 2019 Accepting new patients
Derm-Authority Group LLC Current Accepting new patients
Bella Milagros Inc Current Accepting new patients

Locations

17822 Beach Blvd
Ste 325
Huntington Beach, CA 92647
Phone (714) 843-6550

Organizations & group practices 5

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1699838375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4040",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902411040",
            "telephone_number": "714-761-3901",
            "fax_number": "714-821-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 W COAST HWY",
            "address_2": "ST 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634001",
            "telephone_number": "714-761-3901",
            "fax_number": "714-821-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.