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VICTOR GONZALEZ DOMINGUEZ M.D. NPI 1710924006


NPI Information

NPI: 1710924006
Provider Name: VICTOR GONZALEZ DOMINGUEZ, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
242 E HARVARD BLVD
SUITE C
SANTA PAULA, CA
ZIP 93060
Phone: (805) 525-9595
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Victor Gonzalez Dominguez, M.D. is a family medicine in Santa Paula, CA with 30 years of experience. The provider is 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. Victor Gonzalez Dominguez, M.D. NPI is 1710924006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

242 E HARVARD BLVD
SUITE C
SANTA PAULA, CA
ZIP 93060-372
Phone: (805) 525-9595
Fax: (805) 525-6667

The NPI 1710924006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA55866CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1058553MEDICARE ID-TYPE UNSPECIFIEDCARH MEDICARE
2058608MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARH MEDICARE
3WA55866GMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
4058609MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARH MEDICARE
51215903018OTHERCALIFORNIANPI
6951683892OTHERCALIFORNIAOTHER INSURANCE
7050394MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE
8WA55866FMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
9RHM08608FMEDICAIDCALIFORNIA
10050394OTHERCALIFORNIABLUE CROSS
11WA55866AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
12RHM08609FMEDICAIDCALIFORNIA
13WA55866CMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
14WA55866DMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
15G85924MEDICARE UPIN
16WA55866EMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN
17RHM18553HMEDICAIDCALIFORNIA
18ZZT40394FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.