MARK RYAN VENTURA DOMINGO
NPI 1245084458
Specialist/Technologist, Pathology - Medical Technologist in San Juan Capistrano, CA

Active since April 15, 2024
33608 ORTEGA HWY SAN JUAN CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675(800) 642-4657 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Ryan Ventura Domingo NPPES

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

MARK RYAN VENTURA DOMINGO (NPI 1245084458) is an individual medical technologist in San Juan Capistrano, California, licensed in California (MTA-02245121) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1245084458
Entity TypeIndividualMale
Primary Taxonomy246QM0706X
Provider Legal NameMARK RYAN VENTURA DOMINGO
Location Address33608 ORTEGA HWY SAN JUAN CAPISTRANOSan Juan Capistrano, CA 92675
Mailing Address70 Sklar St Apt 603Ladera Ranch, CA 92694-0766 · (949) 615-8407
Sole ProprietorYes
Enumeration DateApril 15, 2024
NPPES CertifiedApril 9, 2024
NPI 1245084458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist, Pathology · Medical TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246QM0706X
License Licensed in CA · MTA-02245121
33608 ORTEGA HWY SAN JUAN CAPISTRANO, San Juan Capistrano, CA 92675

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 Mark Ryan Domingo's NPI number?

The NPI number for Mark Ryan Domingo is 1245084458. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Mark Ryan Domingo located?

Mark Ryan Domingo practices at 33608 Ortega Hwy San Juan Capistrano, San Juan Capistrano, CA 92675. The listed phone number is (800) 642-4657.

What is Mark Ryan Domingo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Pathology, specializing in Medical Technologist, with taxonomy code 246QM0706X.

When was this NPI record last updated?

The NPPES record for Mark Ryan Domingo was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.