NPIMap

Individual provider Active NPI

Dominique Dorsainvil, MD

  • Nephrology Physician
  • Fresno, CA
National Provider Identifier
1902163413
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A151831 Issued in CA
Practice address
568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone
(559) 228-6600
NPI assigned
Apr 20, 2012
Last updated
Feb 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A151831 CA Primary

Addresses

Primary practice location

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989

Mailing address

568 E Herndon Ave Ste 201
Fresno, CA 93720-2989
Phone (559) 228-6600

Other practice location 1

450 Clarkson Ave
Box 1262
Brooklyn, NY 11203-2012
Phone (718) 270-8867

Other practice location 2

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 443-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205002715 CA Practitioner - NephrologyPractitioner - Internal Medicine 8628380821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

202 W Willow Ave
Suite 302
Visalia, CA 93291-6238
Phone (559) 228-6600

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A151831CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates, Inc. Family Medicine CurrentSince Mar 13, 2023 Accepting new patients
The Nephrology Group, Inc. Nephrology Current Accepting new patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Nov 1, 2017 Accepting new patients
University Faculty Associates , Inc. CurrentSince Mar 13, 2023 Accepting new patients
Central California Faculty Medical Group, Inc. Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
K.W. Kim, a Professional Corp PastSince Jun 21, 2009 Accepting new patients
Hanford Community Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Sierra View Local Health Care District Past Accepting new patients
Community Medical Center, Inc. Past Accepting new patients

Locations

1313 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 320-0701

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

568 E Herndon Ave
Ste 104
Fresno, CA 93720

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

820 E Almond Ave
Madera, CA 93637
Phone (559) 435-0949

800 N St
Sanger, CA 93657
Phone (559) 875-5545

1122 Rose Ave
Ste 2
Selma, CA 93662

1205 Evergreen St
Selma, CA 93662
Phone (559) 896-2342

202 W Willow Ave
Ste 302
Visalia, CA 93291
Phone (559) 622-0602

233 E Caldwell Ave
Visalia, CA 93277
Phone (559) 475-0431

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1902163413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-228-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202989",
            "telephone_number": "559-228-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "Box 1262",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-8867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORSAINVIL",
        "first_name": "DOMINIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A151831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.