DR. JOSEFINA ANITA DOMINGUEZ (NPI# 1174949085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174949085 |
Entity Type | Individual |
Full Name | DR. JOSEFINA ANITA DOMINGUEZ |
Credential | M.D. |
Practice Address |
2725 Capitol Ave Dept 402 Sacramento CA 95816-6032 |
Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
Practice Telephone | 9162629400 |
Practice Fax Number | 9162629399 |
Mailing Telephone | (800) 470-0071 |
Enumeration Date | 2014-03-16 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A128167 | CA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1520 San Pablo St Ste 4300, Los Angeles, CA 900335330 | 3234425755 |
Street Address |
2725 CAPITOL AVE DEPT 402 |
City | SACRAMENTO |
State | CA |
Zip Code | 95816-6032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598777658 | Scott C Braley | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2006-08-13 |
1053933978 | Emily Catherine Clyma | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2020-05-13 |
1861884256 | Rhonda Sachiko Blankenheim | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2015-02-23 |
1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
1770987281 | Kathryn Bradley | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816 | 2014-10-13 |
1396025409 | Jason Carl George | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2011-08-19 |
1669603312 | Alexander B Merkle | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2009-07-29 |
1508918616 | Brian Duke Park | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2007-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
Find all providers in zip 95816 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619389939 | Andrew Wishy | Surgery | 5749 Bridgecross Dr, Sacramento, CA 95835-1902 | 2014-05-21 |
1730478082 | Steven Maximus | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2309 | 2011-04-06 |
1841218690 | Richard Edward Ward | Surgery | 3941 J St 362, Sacramento, CA 95819-3633 | 2006-07-18 |
1295753036 | Charles Thomas Brownridge | Surgery | 2800 L St Ste 260, Sacramento, CA 95816-5616 | 2006-07-18 |
1508841537 | Daniel Peter Link Jr. | Surgery | 500 University Ave Ste 250, Sacramento, CA 95825-6525 | 2005-12-13 |
1417512195 | Kathryn Lambeth Dilosa | Surgery | 2315 Stockton Blvd, Sacramento, CA 95817-2201 | 2019-05-07 |
1730587379 | Eric Kuo | Surgery | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2014-12-14 |
1417392663 | Mimmie Kwong | Surgery | 4860 Y St Ste 2100, Sacramento, CA 95817-2307 | 2013-05-01 |
1982946687 | Ronald G. Jan, M.d., Inc | Surgery | 5025 J St, Suite 312, Sacramento, CA 95819 | 2013-03-20 |
1114291366 | Ali Tajlil Md Inc | Surgery | 3941 J Street, Suite 370, Sacramento, CA 95819-3633 | 2012-03-06 |
Find all providers in SACRAMENTO |
City | SACRAMENTO |
Zip Code | 95816 |
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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.