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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLETTE E. DOME-YUTSUS AU.D.
NPI 1033856323
Audiologist in San Marcos, CA

Active since May 17, 2022
400 CRAVEN RD, SAN MARCOS, CA 92078(858) 616-5115(858) 616-5118 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2026, Jun 5, 2023, Apr 14, 2023 and 1 more (4 updates tracked since 2022).

About Nicolette E. Dome-yutsus Au.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLETTE E. DOME-YUTSUS AU.D. (NPI 1033856323) is an individual audiologist in San Marcos, California, licensed in California (AU3740) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1033856323
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameNICOLETTE E. DOME-YUTSUSCredential: AU.D.
Location Address400 CRAVEN RDSan Marcos, CA 92078-4201
Mailing Address400 Craven RdSan Marcos, CA 92078-4201 · (858) 616-5100 · Fax (858) 616-5100
Phone(858) 616-5115
Fax(858) 616-5118
Sole ProprietorNo
Enumeration DateMay 17, 2022
Last NPPES UpdateSeptember 11, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2026
✔ NPI 1033856323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in CA · AU3740
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
400 CRAVEN RD, San Marcos, CA 92078
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolette E. Dome-yutsus Au.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicolette Dome-yutsus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
24 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LAURIE JUNE STEINECKE PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5662
MASSUD R WEISS
Family Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (833) 574-2273
SZE HOAY DING M.D.
Internal Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (619) 318-7476
MS. JENNIFER ALEXANDER RCP, RRT
Respiratory Therapist, Certified (Pulmonary Function Technologist)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5457
LORRAINE VIVIENNE LEVY PT
Physical Therapist (Orthopedic)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-5656
DR. ROSE RIDINGS FEAVER PHARM.D.
Pharmacist
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (760) 510-4077
DR. MICHAEL JOSEPH CRAWFORD D.P.M
Podiatrist (Foot & Ankle Surgery)
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (626) 818-0967
STEVEN J. SHERMAN M.D.
Family Medicine
400 CRAVEN RD
SAN MARCOS, CA 92078
San Diego County (619) 528-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicolette Dome-yutsus's NPI number?

The NPI number for Nicolette Dome-yutsus is 1033856323. It was assigned to this individual provider in the NPPES registry on May 17, 2022.

Where is Nicolette Dome-yutsus located?

Nicolette Dome-yutsus practices at 400 Craven Rd, San Marcos, CA 92078. The listed phone number is (858) 616-5115.

What is Nicolette Dome-yutsus's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Nicolette Dome-yutsus enrolled in Medicare?

Yes. Nicolette Dome-yutsus is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolette Dome-yutsus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolette Dome-yutsus reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicolette Dome-yutsus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolette Dome-yutsus was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.