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LAURA LIDIA DOMINGUEZ NP
NPI 1184196719
Nurse Practitioner in Santa Maria, CA

Active since December 20, 2018PECOS EnrolledAccepts Medicare Assignment
361 TOWN CTR W, SANTA MARIA, CA 93458(805) 922-6581 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Laura Lidia Dominguez Np NPPES

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

LAURA LIDIA DOMINGUEZ NP (NPI 1184196719) is an individual nurse practitioner in Santa Maria, California, licensed in California (95010540) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1184196719
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURA LIDIA DOMINGUEZCredential: NP
Location Address361 TOWN CTR WSanta Maria, CA 93458-5076
Mailing Address735 Sage Crest DrSanta Maria, CA 93455-8004 · (559) 310-4506
Phone(805) 922-6581
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 20, 2018
✔ NPI 1184196719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95010540
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
361 TOWN CTR W, Santa Maria, CA 93458
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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 and accepts Medicare assignment

Laura Lidia Dominguez 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.

PECOS PAC ID7315285046
PECOS Enrollment IDI20190205001715
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Laura Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Santa Maria Gastroenterology Medical Group Inc.
0.9 mi
Gastroenterology
1311 S MILLER ST, 100
Santa Maria, CA 93454
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group
NPI 1386971687 (805) 922-6991
Silver Summit Medical Corporation
83 mi
Podiatrist
1408 COMMERCIAL WAY
Bakersfield, CA 93309
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1679791404 (California)
  • 12 clinicians in this Medicare group
NPI 1023876976 (661) 727-7000

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 93458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Laura Dominguez's NPI number?

The NPI number for Laura Dominguez is 1184196719. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Where is Laura Dominguez located?

Laura Dominguez practices at 361 Town Ctr W, Santa Maria, CA 93458. The listed phone number is (805) 922-6581.

What is Laura Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laura Dominguez enrolled in Medicare?

Yes. Laura Dominguez 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 Laura Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Dominguez reassigns Medicare benefits to 2 organizations: Santa Maria Gastroenterology Medical Group Inc. (Santa Maria, CA) and Silver Summit Medical Corporation (Bakersfield, 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 Laura Dominguez'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 Laura Dominguez was last updated on December 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.