Dina D Domalanta-Villaluna, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M001402 Issued in GU

Practice address

415 Chalan San Antonio Ste 109
Tamuning, GU 96913-3620

Phone

(671) 647-7337

Fax

(671) 647-7336

NPI assigned

Jan 4, 2007

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Dina D Domalanta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Pediatric & Adolescents Clinic Inc.

  • Pediatrics Physician
  • Tamuning, GU
  • NPI 1700646288
  NPD Authorized official
• Pediatric and Asthma Clinic

  dba Medfirst Physicians Group

  • Pediatrics Physician
  • Tamuning, GU
  • NPI 1720271059
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1760539464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CHALAN SAN ANTONIO STE 109",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133620",
            "telephone_number": "671-647-7337",
            "fax_number": "671-647-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHALAN SAN ANTONIO STE 109",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133620",
            "telephone_number": "671-647-7337",
            "fax_number": "671-647-7336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMALANTA-VILLALUNA",
        "first_name": "DINA",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GU",
            "license": "M001402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "56685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DINA",
            "last_name": "DOMALANTA",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseleo R. Delos Reyes, PTA
• Albert Joseph Dimalanta, D.C., C.N.S.
• Rowena Quinto Dimla
• Cathleen A. Distor, CNM
• Joel Mendoza Dizon, O.D.
• Daniel B. Domaoal, CCC-SLP
• Dr. Horinouchi Wellness Clinic
• Dr. Ruben P Arafiles, PC
• Gabriella Ann Delgado Duenas, PHARMD
• Julienne R. Duenas, P.T.

• Pediatrics Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Pediatrics Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.