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, and ordering and referring status from the CMS PECOS system.
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.
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.
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 4 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.
# 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
- **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.