Santa Ann Dominguez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Avalon, California. Her current practice location is
100 Falls Canyon Road, Avalon, California. You can reach out to her office (for appointments etc.) via phone at
(310) 510-0096.
Santa Ann Dominguez is licensed to practice in California (license number 95012119) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396391397.
Provider's Profile
| Full Name | Santa Ann Dominguez |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 100 Falls Canyon Road, Avalon, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Santa Ann Dominguez attended and graduated from in
NPI Data:
- NPI Number: 1396391397
- Provider Enumeration Date: 08/15/2019
- Last Update Date: 08/15/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Santa Ann Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396391397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95012119 (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. Santa Ann 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 |
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Santa Ann Dominguez, FNP
Po Box 1563,
Avalon, CA 90704-1563
Ph: (310) 510-0096 | Santa Ann Dominguez, FNP
100 Falls Canyon Road,
Avalon, CA 90704
Ph: (310) 510-0096 |
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