Kathleen H Dominguez, PA is a medicare enrolled "Physician Assistant" physician in Encinitas, California. Her current practice location is
477 N El Camino Real Ste B105, Encinitas, California. You can reach out to her office (for appointments etc.) via phone at
(760) 753-7143.
Kathleen H Dominguez is licensed to practice in California (license number PA17714) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689784530.
Physician's Profile
Full Name | Kathleen H Dominguez |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 477 N El Camino Real Ste B105, Encinitas, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689784530
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 10/28/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850739756
- Enrollment ID: I20240410001964
Medical Identifiers
Medical identifiers for Kathleen H Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689784530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | PA 17714 (California) | Secondary |
363A00000X | Physician Assistant | PA17714 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen H Dominguez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen H Dominguez, PA 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (760) 753-7143 | Kathleen H Dominguez, PA 477 N El Camino Real Ste B105, Encinitas, CA 92024-1330 Ph: (760) 753-7143 |
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