Catherine Domingo Oms, RN, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

19561 Issued in CA

Practice address

1906 Commercenter E Ste 100
San Bernardino, CA 92408-3423

Phone

(909) 478-7776

NPI assigned

Jan 11, 2008

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GU, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Lev Grinman MD 6 Professional CorporationGroup PAC ID 0941721930, 10 clinicians

Goldencrest Primary CareGroup PAC ID 2860984978, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Registered Nurse

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 and National Provider Directory roles.

• Lev Grinman MD 6 Professional Corporation

  • Family Nurse Practitioner
  • Pasadena, CA
  • NPI 1780495382
  Medicare reassignment Care Compare group NPD
• Goldencrest Primary Care

  • Nurse Practitioner
  • San Bernardino, CA
  • NPI 1437025004
  Medicare reassignment Care Compare group
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment NPD
• Wound Rescue Specialist

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1295583250
  Medicare reassignment NPD
• Adoracion Reyes MD a Professional Medical Corporation

  • Family Nurse Practitioner
  • Artesia, CA
  • NPI 1457196164
  Medicare reassignment
• Dr Shanna R Newbold M D Inc

  • Emergency Medicine Physician
  • Banning, CA
  • NPI 1104541572
  Medicare reassignment
• General Conference Corp of Sda

  • Clinic/Center
  • Tamuning, GU
  • NPI 1275586877
  Medicare reassignment

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1982880795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S MEADOW LN APT 9",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246471",
            "telephone_number": "909-709-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COMMERCENTER E STE 100",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083423",
            "telephone_number": "909-478-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMS",
        "first_name": "CATHERINE",
        "middle_name": "DOMINGO",
        "name_prefix": "Miss",
        "credential": "RN, PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "19561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Olson, MD
• Catherine Adaku Oluoha, FNP
• Nicole Olvera, ACSW
• Joseph Richard Omaghomi
• Gloria Omolafe, SLPA
• One Day Health, Inc
• One Reliance in Home Support LLC.
• One Stop Multi-Specialty Medical Group, Inc.
• Bianca Oneal
• Michell Lynn Oneal

• Medical Physician Assistant in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.