DR. JESSE SERRANO DOMINGUEZ D.O.
NPI 1467534313
Family Medicine in Fontana, CA
About Dr. Jesse Serrano Dominguez D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSE SERRANO DOMINGUEZ D.O. (NPI 1467534313) is an individual family medicine provider in Fontana, California, licensed in California (20A8942) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2002).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Jesse Serrano Dominguez D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jesse Dominguez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 95 clinicians in this Medicare group
Fontana, CA 92336
- Reassigned Medicare billing, California enrollment
- 17 clinicians in this Medicare group
Rancho Cucamonga, CA 91730
- Reassigned Medicare billing, California enrollment
- 204 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FONTANA, CA 92336
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 Jesse Dominguez's NPI number?
The NPI number for Jesse Dominguez is 1467534313. It was assigned to this individual provider in the NPPES registry on October 19, 2006.
Where is Jesse Dominguez located?
Jesse Dominguez practices at 16839 Ramona Ave Ste 401, Fontana, CA 92336. The listed phone number is (909) 429-2864.
What is Jesse Dominguez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jesse Dominguez enrolled in Medicare?
Yes. Jesse 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 Jesse Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jesse Dominguez reassigns Medicare benefits to 3 organizations: Mountain View Urgent Care Group, Inc (Fontana, CA), Cucamonga Valley Medical Group, Inc. (Fontana, CA) and Knd Development 59 LLC (Rancho Cucamonga, 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 Jesse 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 Jesse Dominguez was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Dr. Jesse Serrano Dominguez, D.O. · NPI 1467534313
Family Medicine physician in Fontana, California. Individual provider, active in the CMS NPPES registry since October 19, 2006.
## Identity
- **NPI:** 1467534313 (Entity type: Individual)
- **Enumerated:** October 19, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A8942 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16839 RAMONA AVE STE 401, Fontana, CA 92336-2014
- **Phone:** (909) 429-2864
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mountain View Urgent Care Group, Inc (NPI 1023306784, Fontana, CA); Cucamonga Valley Medical Group, Inc. (NPI 1497783229, Fontana, CA); Knd Development 59 LLC (NPI 1487959581, Rancho Cucamonga, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western University Of Health Sciences College Of Dental Med, class of 2002
## Record status
- **NPPES last updated:** January 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467534313) · Data from the CMS NPPES public registry.