ANGELINE LOBERIANO DOMAGAT NP
NPI 1053197004
Nurse Practitioner - Family in Fontana, CA
About Angeline Loberiano Domagat Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELINE LOBERIANO DOMAGAT NP (NPI 1053197004) is an individual family provider in Fontana, California, licensed in California (95027030) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Corona, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Angeline Loberiano Domagat Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Angeline Domagat reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fontana, CA 92335
- Reassigned Medicare billing, California enrollment
- 5,228 clinicians in this Medicare group
Redlands, CA 92373
- Reassigned Medicare billing, California enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92335 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FONTANA, CA 92335
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 Angeline Domagat's NPI number?
The NPI number for Angeline Domagat is 1053197004. It was assigned to this individual provider in the NPPES registry on September 6, 2023.
Where is Angeline Domagat located?
Angeline Domagat practices at 9961 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 702-4575.
What is Angeline Domagat's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Angeline Domagat enrolled in Medicare?
Yes. Angeline Domagat is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Angeline Domagat's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angeline Domagat reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Fontana, CA) and Cardiovascular Specialists Of Redlands And The Inland Empire LLC (Redlands, CA). Each 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 Angeline Domagat'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 Angeline Domagat was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Angeline Loberiano Domagat, NP · NPI 1053197004
Family physician in Fontana, California. Individual provider, active in the CMS NPPES registry since September 6, 2023.
## Identity
- **NPI:** 1053197004 (Entity type: Individual)
- **Enumerated:** September 6, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95027030 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 9961 SIERRA AVE, Fontana, CA 92335-6720
- **Phone:** (909) 702-4575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern California Permanente Medical Group (NPI 1689606196, Fontana, CA); Cardiovascular Specialists Of Redlands And The Inland Empire LLC (NPI 1558121814, Redlands, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053197004) · Data from the CMS NPPES public registry.