DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION (NPI# 1871796086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871796086 |
| Entity Type | Organization |
| Organization Name | DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION |
| Other Organization Name | DENNIS O. DOMINGUEZ, MD, A MEDICAL CORPORATION |
| Practice Address |
505 N. Mollison Ave Suite 201 El Cajon CA 92021 |
| Practice Telephone | 6194413550 |
| Practice Fax Number | 6195792921 |
| Mailing Telephone | 6194413550 |
| Mailing Fax Number | 6195792921 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MISS JUANA VAZQUEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6194413550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G43179 | 05 |
| Other Name | Type Code |
|---|---|
| Dennis O. Dominguez, MD, A Medical Corporation | Doing Business As Name - Organization |
| Street Address |
505 N. MOLLISON AVE SUITE 201 |
| City | EL CAJON |
| State | CA |
| Zip Code | 92021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728498 | Hala Kadhem | Counselor | 1664 Broadway, El Cajon, San Diego, CA 92021 | 2020-07-30 |
| 1891331021 | Medevac Inc | Ambulance | 8025 Tone Lane, El Cajon, CA 92021 | 2019-11-22 |
| 1760024095 | San Diego Health Alliance, Inc. | Clinic/Center | 1625 East Main Street, El Cajon, CA 92021 | 2019-10-08 |
| 1295388932 | Coleen Stacie Cobbs | Social Worker | 1013 Greta Street, El Cajon, CA 92021 | 2019-07-22 |
| 1144744475 | Sarah Kala | Pharmacist | 505 N Mollison Ave #102, El Cajon, CA 92021 | 2017-07-28 |
| 1699139816 | Mayra Aranda | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2016-04-13 |
| 1942603436 | Scott Crusey | Counselor | 1679 East Main Street, Suite 102, El Cajon, CA 92021 | 2014-09-29 |
| 1104254317 | Naimh Martin | Counselor | 1630 E Main Street, El Cajon, CA 92021 | 2013-10-25 |
| 1386875540 | Jacqueline Vu Luong | Marriage & Family Therapist | 1000 Broadway #100, El Cajon, CA 92021 | 2009-08-05 |
| 1740444264 | Peter Morhan Sun | General Practice | 7957 Bevin Lane, El Cajon, CA 92021 | 2008-07-14 |
| Find all providers in zip 92021 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417755 | Faranak Ghazi Md | Family Medicine | 1625 E Main St Ste 102, El Cajon, CA 92021-5223 | 2020-01-29 |
| 1396219135 | Rejuve2u Inc, A Professional Medical Corporation | Family Medicine | 2150 Chardon Ln, El Cajon, CA 92019-3884 | 2019-01-15 |
| 1013407790 | Erin Metcalf | Family Medicine | 133 W Main St., 240, El Cajon, CA 92020 | 2018-05-17 |
| 1144732595 | Ebtissam H Korkis Md Inc | Family Medicine | 1530 Jamacha Rd Ste E-f, El Cajon, CA 92019-3700 | 2017-10-25 |
| 1871889469 | Pushpa K Desai | Family Medicine | 11701 Calle Trucksess, El Cajon, CA 92019-4819 | 2011-06-22 |
| 1851602254 | Julie A Keeler Do Inc | Family Medicine | 771 Jamacha Rd (no Office - Housecalls Only), #257, El Cajon, CA 92019-3202 | 2010-06-30 |
| 1063651552 | Nejat Arab Jalisi | Family Medicine | 1320 E Madison Ave, El Cajon, CA 92021-8531 | 2009-02-06 |
| 1730301706 | Herman Samuel Rauch | Family Medicine | 858 Sycamore Ln., El Cajon, CA 92019-1121 | 2007-05-02 |
| 1457407702 | Patrick Henry Sweet IIi | Family Medicine | 463 N Magnolia Ave, El Cajon, CA 92020-3606 | 2007-01-26 |
| 1780746263 | Ebtissam H Korkis | Family Medicine | 1530 Jamacha Road, Unit E Unit F, El Cajon, CA 92019 | 2006-12-14 |
| Find all providers in EL CAJON | ||||
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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.