Ma.Angela Perez Dominguez

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50902 Issued in CA

Practice address

1808 Springs Rd
Vallejo, CA 94591-5518

Phone

(707) 647-1072

NPI assigned

May 23, 2007

Last updated

Mar 14, 2012By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Maangela P Dominguez, DDS, a Professional Corporation

  • Dentist
  • Vallejo, CA
  • NPI 1982964953
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1952511040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 OLINDA RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033544",
            "telephone_number": "310-748-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915518",
            "telephone_number": "707-647-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MA.ANGELA",
        "middle_name": "PEREZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Dizon, RN
• Ryan Pham Doan, M.D.
• Daniel Doi
• Ryan Charles Dollbaum, M.D.
• Ascela Regala Dominguez, DISPENSING OPTICIAN
• Mariah Lupe Dominguez
• Mark Kenneth Domke, RKT
• Jillian April Napeek Domogan
• Laurena Nelly Dongmo Fotsing
• Timothy Walter Donlin, RADT, SUDRC

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.