MR. MIGUEL ISLETA DOMINGO M.D.
NPI 1538248166
Pediatrics in West Covina, CA

Q: What is Miguel Domingo's NPI number?

The NPI number for Miguel Domingo is 1538248166. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Miguel Domingo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Miguel Domingo was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment

512 S GLENDORA AVE, WEST COVINA, CA 91790(626) 337-2888(626) 337-2670 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Miguel Isleta Domingo M.d. NPPES

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

MR. MIGUEL ISLETA DOMINGO M.D. (NPI 1538248166) is an individual pediatrics provider in West Covina, California, licensed in California (A537660) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1538248166

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMR. MIGUEL ISLETA DOMINGOCredential: M.D.

Location Address512 S GLENDORA AVEWest Covina, CA 91790-3022

Mailing Address512 S Glendora AveWest Covina, CA 91790-3022 · (626) 337-2888 · Fax (626) 337-2670

Phone(626) 337-2888

Fax(626) 337-2670

Sole ProprietorNo

Medical School CMSOtherGraduated 1983

Enumeration DateNovember 3, 2006

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1538248166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A537660

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedFamily MedicineTaxonomy 207Q00000X · License A537660 (CA)

512 S GLENDORA AVE, West Covina, CA 91790

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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

Mr. Miguel Isleta 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 ID8628031093

PECOS Enrollment IDI20041105001069

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

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

Active Healthcare Medical Group Inc

Same address

Family Medicine

512 S GLENDORA AVE
West Covina, CA 91790

Reassigned Medicare billing, California enrollment

NPI 1699955575 (626) 337-2888

Clinica Medica Centro Hispano Inc

16 mi

Family Medicine

360 E 7TH ST STE H
Upland, CA 91786

Reassigned Medicare billing, California enrollment

NPI 1730360579 (909) 985-8031

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 2

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.

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.

109 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers13 claims23 services$3.74 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier12 claims360 services$0.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOJO JOSE RPT

Physical Therapist

512 S GLENDORA AVE
WEST COVINA, CA 91790

Los Angeles County (626) 337-2888

ACTIVE HEALTHCARE MEDICAL GROUP INC

Family Medicine

512 S GLENDORA AVE
WEST COVINA, CA 91790

Los Angeles County (626) 337-2888

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 Miguel Domingo's NPI number?

The NPI number for Miguel Domingo is 1538248166. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Miguel Domingo located?

Miguel Domingo practices at 512 S Glendora Ave, West Covina, CA 91790. The listed phone number is (626) 337-2888.

What is Miguel Domingo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Miguel Domingo enrolled in Medicare?

Yes. Miguel 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.

Which organizations bill Medicare for Miguel Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Domingo reassigns Medicare benefits to 2 organizations: Active Healthcare Medical Group Inc (West Covina, CA) and Clinica Medica Centro Hispano Inc (Upland, 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 Miguel Domingo'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 Miguel Domingo was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.