Organization Active NPI

Dennis O. Dominguez, MD, a Medical Corporation

  • Family Medicine Physician
  • El Cajon, CA
National Provider Identifier
1871796086
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION
Doing business as
Dennis O. Dominguez, MD, A Medical Corporation
Practice address
505 N. Mollison Ave
Suite 201
El Cajon, CA 92021
Phone
(619) 441-3550
Fax
(619) 579-2921
NPI assigned
Jun 6, 2007
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Miss Juana Vazquez
Title
Office Manager
Phone
(619) 441-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

505 N. Mollison Ave
Suite 201
El Cajon, CA 92021

Mailing address

505 N. Mollison Ave
Suite 201
El Cajon, CA 92021
Phone (619) 441-3550

Other identifiers 1

IdentifierTypeStateIssuer
00G43179MedicaidCA

Other names 1

  • Dennis O. Dominguez, MD, A Medical Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

505 N Mollison Ave
Ste 201
El Cajon, CA 92021
Phone (619) 441-3550

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1871796086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N. MOLLISON AVE",
            "address_2": "SUITE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92021",
            "telephone_number": "619-441-3550",
            "fax_number": "619-579-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N. MOLLISON AVE",
            "address_2": "SUITE 201",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92021",
            "telephone_number": "619-441-3550",
            "fax_number": "619-579-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-441-3550",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G43179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis O. Dominguez, MD, A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.