FERNANDO DOMINGUEZ (NPI# 1164936555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164936555 |
| Entity Type | Individual |
| Full Name | FERNANDO DOMINGUEZ |
| Credential | ATC, LAT |
| Practice Address |
1130 Beachview St Dallas TX 75218-3700 |
| Mailing Address |
9730 Ash Creek Dr Dallas TX 75228-3602 |
| Practice Telephone | 4693415676 |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6919 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9730 Ash Creek Dr, Dallas, TX 75228 | 2146683664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417196262 | Fernando Dominguez | Surgery | 507 Forest Road, Huntington, WV 25705 | 2009-02-18 |
| 1700078607 | Fernando Carlos Dominguez Jr. | Licensed Psychiatric Technician | 300 Hillmot Ave, Ventura, CA 93003 | 2007-08-14 |
| 1972917672 | Fernando Dominguez | Internal Medicine | 4094 4th Ave, San Diego, CA 92103-2143 | 2014-06-20 |
| Street Address |
1130 BEACHVIEW ST |
| City | DALLAS |
| State | TX |
| Zip Code | 75218-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851397111 | V Terry Miller | Dentist | 1130 Beachview St, Suite 210, Dallas, TX 75218-3706 | 2005-06-22 |
| 1952754806 | Medbak Healthcare Services, Pllc | Physician Assistant | 1130 Beachview St, Ste 110, Dallas, TX 75218-3700 | 2016-07-15 |
| 1104293638 | Christi Stevens | Physical Therapist | 1130 Beachview St, Suite 120, Dallas, TX 75218-3700 | 2015-09-01 |
| 1962878124 | Amanda Marie Coker | Specialist/Technologist | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2015-08-11 |
| 1780019679 | Alyssa Mueller | Specialist/Technologist | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2013-09-10 |
| 1083048987 | James H Stanley Md Pa | Orthopaedic Surgery | 1130 Beachview St, Suite 100, Dallas, TX 75218-3700 | 2013-08-27 |
| 1982968616 | Angela Marie Frady | Specialist/Technologist | 1130 Beachview St, Dallas, TX 75218-3700 | 2012-06-27 |
| 1508127408 | Lakewood Orthopedics and Sports Medicine | Specialist | 1130 Beachview St, Ste 100, Dallas, TX 75218-3700 | 2012-06-06 |
| 1629216106 | Joanna Marie Mcmahan | Physical Therapist | 1130 Beachview St, Suite 120, Dallas, TX 75218-3700 | 2009-01-22 |
| 1427228121 | Brett Allan Gabriel | Podiatrist | 1130 Beachview St, Ste 200, Dallas, TX 75218-3705 | 2008-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412034 | Sunaina Shalu Gill | Specialist/Technologist | 718 North Buckner Boulevard, #312, Dallas, TX 75218 | 2019-05-20 |
| 1851896492 | Tawana Anderson Floyd | Occupational Therapy Assistant | 718 Buckner Blvd, #312, Dallas, TX 75218 | 2018-03-26 |
| 1164948097 | Behavioral Health Connections, Inc. | Psychiatry & Neurology | 1350 N. Buckner Blvd., Ste. 100, Dallas, TX 75218 | 2017-08-22 |
| 1083988729 | Paras Bharatkumar Patel | Dentist | 12316 Coolmeadow Lane, Dallas, TX 75218 | 2012-02-27 |
| 1881990216 | Dallas Doctors Pain Clinic | Pain Medicine | 1110 N. Buckner Blvd., Suite 100, Dallas, TX 75218 | 2011-02-02 |
| 1861719387 | Mi Familia Medical Pllc | General Practice | 1100 Garland Road, Dallas, TX 75218 | 2010-04-23 |
| 1972832541 | James Ervin Bridges | Chiropractor | 1214 Old Gate Ln, Dallas, TX 75218 | 2009-12-10 |
| 1326291295 | Karl F Woodmansey | Dentist | 1215 Waterside Cir, Dallas, TX 75218 | 2008-10-23 |
| 1679739841 | All About Care Homehealth Services Inc. | Home Health | 12115 Self Plaza Drive, Suite 100, Dallas, TX 75218 | 2008-08-06 |
| 1104035187 | Charlotte Ann Hodges | Surgery | 1151 North Buckner Blvd #308, Dallas, TX 75218 | 2007-05-22 |
| Find all providers in zip 75218 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912510876 | Katrina Mascarella | Specialist/Technologist | 8293 Southwestern Blvd Apt 1108, Dallas, TX 75206-2158 | 2020-08-28 |
| 1023634664 | Tiara Ford | Specialist/Technologist | 4785 Asher Pl, Dallas, TX 75204-6000 | 2020-06-19 |
| 1306460241 | Baylee Gorzelski | Specialist/Technologist | 327 Blackberry Run Trl, Dallas, GA 30132-1187 | 2020-06-06 |
| 1972139111 | Taelar Smith | Specialist/Technologist | 5515 Arapaho Rd, Dallas, TX 75248-3692 | 2020-03-19 |
| 1598399214 | Morgan Edwards | Specialist/Technologist | 2632 S Marsalis Ave, Dallas, TX 75216-3021 | 2020-03-03 |
| 1306477716 | Steven Scott Cowan | Specialist/Technologist | 9036 Westglen Dr, Dallas, TX 75228-4125 | 2020-02-04 |
| 1275173395 | Paola Cabrera | Specialist/Technologist | 10842 Channel Dr, Dallas, TX 75229-3711 | 2020-01-07 |
| 1649816943 | Masashi Yamamura | Specialist/Technologist | 3337 Kiest Forest Ct, Dallas, TX 75233-2552 | 2019-11-21 |
| 1316580780 | Lizbeth Paola Alvarez Roldan | Specialist/Technologist | 341 Crenshaw Dr, Dallas, TX 75217-7714 | 2019-10-17 |
| 1548810286 | Yosef Presburger | Specialist/Technologist | 5995 Summerside Dr Ste 796424, Dallas, TX 75248-9992 | 2019-09-15 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.