MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION
NPI 1063619310
Anesthesiology - Pain Medicine in Tustin, CA

Active since June 29, 2007CLIA 05D2010495 · Waiver
18102 IRVINE BLVD, SUITE 208, TUSTIN, CA 92780(714) 371-9000(714) 730-2720 Get Directions Write a Review

NPPES record last updated: January 26, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Miguel Dominguez Md A Professional Corporation NPPES

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

MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION (NPI 1063619310) is a healthcare organization registered as a pain medicine in Tustin, California and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through July 28, 2026 and lists Carolyn Hubay, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063619310
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameMIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION
Location Address18102 IRVINE BLVD, SUITE 208Tustin, CA 92780-3402
Mailing Address18102 Irvine Blvd, Suite 208Tustin, CA 92780-3402 · (714) 371-9000 · Fax (714) 730-2720
Fax(714) 730-2720
Organization SubpartNo
Authorized OfficialCarolyn HubayOffice Manager · (714) 371-9000
Enumeration DateJune 29, 2007
Last NPPES UpdateJanuary 26, 2010
NPI 1063619310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in CA · G64086
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

18102 IRVINE BLVD, Tustin, CA 92780

Other Identifiers 2

Medicare UPINE85038CA
Medicare UPINW18375CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2010495

Miguel A Dominguez, MD Inc · Tustin, CA
Active · expires Jul 28, 2026
CLIA Number05D2010495
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorMiguel Dominguez
Laboratory Phone(714) 371-9000
Laboratory LocationMiguel A Dominguez, MD Inc18102 Irvine Blvd Ste 208, Tustin, CA 92780
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
18102 IRVINE BLVD, SUITE 105
TUSTIN, CA 92780
Family Medicine
18102 IRVINE BLVD, SUITE 105
TUSTIN, CA 92780
Psychiatry & Neurology (Neurology)
18102 IRVINE BLVD, SUITE 206
TUSTIN, CA 92780
Anesthesiology (Pain Medicine)
18102 IRVINE BLVD, SUITE 208
TUSTIN, CA 92780
Physical Therapist
18102 IRVINE BLVD, SUITE 207
TUSTIN, CA 92780
Dentist
18102 IRVINE BLVD, STE 205
TUSTIN, CA 92780
Dentist (General Practice)
18102 IRVINE BLVD, SUITE 200
TUSTIN, CA 92780
Dentist (Pediatric Dentistry)
18102 IRVINE BLVD, STE. 101
TUSTIN, CA 92780

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 Miguel Dominguez MD A Professional Corporation's NPI number?

The NPI number for Miguel Dominguez MD A Professional Corporation is 1063619310. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Miguel Dominguez MD A Professional Corporation located?

Miguel Dominguez MD A Professional Corporation is located at 18102 Irvine Blvd Suite 208, Tustin, CA 92780. The listed phone number is (714) 371-9000.

What is Miguel Dominguez MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Does Miguel Dominguez MD A Professional Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2010495) is associated with this NPI, valid through July 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Miguel Dominguez MD A Professional Corporation was last updated on January 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.