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

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: August 02, 2026.

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
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

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

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.

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.

Physical Therapist
512 S GLENDORA AVE
WEST COVINA, CA 91790
Family Medicine
512 S GLENDORA AVE
WEST COVINA, CA 91790

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.

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 10 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.