MIGUEL DOMINGUEZ MD A PROFESSIONAL CORPORATION
NPI 1063619310
Anesthesiology - Pain Medicine in Tustin, CA
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, 2028 and lists Carolyn Hubay, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miguel Dominguez Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Miguel Dominguez MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Miguel Dominguez MD A Professional Corporation enrolled in Medicare?
Yes. Miguel Dominguez MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Miguel Dominguez MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Miguel Dominguez MD A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.
# Miguel Dominguez Md A Professional Corporation · NPI 1063619310
Pain Medicine organization in Tustin, California. Organization record, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1063619310 (Entity type: Organization)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Carolyn Hubay, OFFICE MANAGER
## Practice location
- **Address:** 18102 IRVINE BLVD, SUITE 208, Tustin, CA 92780-3402
- **Phone:** (714) 371-9000 · **Fax:** (714) 730-2720
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 26, 2010
- **Other identifiers:** Medicare UPIN E85038 (CA); Medicare UPIN W18375 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063619310) · Data from the CMS NPPES public registry.