Evelin Yajaira Dominguez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

288 Montalvin Dr
San Pablo, CA 94806-1161

Phone

(510) 619-4585

NPI assigned

Aug 20, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1780561803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 MONTALVIN DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061161",
            "telephone_number": "510-619-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 MONTALVIN DR",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948061161",
            "telephone_number": "510-619-4585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2130 Fulton St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941171050",
            "country_code": "US",
            "telephone_number": "415-422-5555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "EVELIN",
        "middle_name": "YAJAIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Dillin, BETH DILLIN
• Docs of the Bay
• Doctors Medical Center- San Pablo
• Joseph Morrell Dodge, MD
• Chime Dolkar, RN
• Edward Francis Donnelly, PH.D.
• Davita Rochelle Dorsey
• Douglas Enrique Melgar DDS Inc (iSmile San Pablo)
• Dr Marvi V Rijhwani
• Sharon Beth Drager, M.D.

• Student in an Organized Health Care Education/Training Program in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.