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DIANA SANTO DOMINGO M.D.
NPI 1437350709
Dermatology in Santa Rosa, CA

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
3883 AIRWAY DR STE 203, SANTA ROSA, CA 95403(707) 521-4495(707) 573-5421 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Diana Santo Domingo M.d. NPPES

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

DIANA SANTO DOMINGO M.D. (NPI 1437350709) is an individual dermatology provider in Santa Rosa, California, licensed in California (C168169) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437350709
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDIANA SANTO DOMINGOCredential: M.D.
Location Address3883 AIRWAY DR STE 203Santa Rosa, CA 95403-1671
Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (707) 521-4495 · Fax (707) 573-5421
Phone(707) 521-4495
Fax(707) 573-5421
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 31, 2007
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
✔ NPI 1437350709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Licenses✔ Licensed in CA · C168169✔ Licensed in CA · 997612
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

3883 AIRWAY DR STE 203, Santa Rosa, CA 95403
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Secondary Practice Locations 2

Location 1603 N Flamingo Rd, Suite 350Pembroke Pines, FL 33028-1013 · Phone (216) 844-7834
Location 29460 N Name Uno Ste 210Gilroy, CA 95020-3532 · Phone (408) 847-0888 · Fax (408) 847-1257

Other Identifiers 1

OtherC168169CA · State Medical License

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

Diana Santo Domingo M.d. 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 ID8022242247
PECOS Enrollment IDI20200609002644
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
189 services30 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
47 services41 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
32 services32 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
31 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95403 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BONNIE JEAN KERR M.D.
Dermatology
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760
DR. ROBERT AN-KUO LEE MD, PHD
Dermatology (Dermatopathology)
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760
JENNIFER FREEMAN
Dermatology
3883 AIRWAY DR STE 203
SANTA ROSA, CA 95403
Sonoma County (707) 521-7760

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 Diana Santo Domingo's NPI number?

The NPI number for Diana Santo Domingo is 1437350709. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Diana Santo Domingo located?

Diana Santo Domingo practices at 3883 Airway Dr Ste 203, Santa Rosa, CA 95403. The listed phone number is (707) 521-4495.

What is Diana Santo Domingo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Diana Santo Domingo enrolled in Medicare?

Yes. Diana Santo Domingo 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 Diana Santo Domingo was last updated on September 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.