1. Home
  2. Directory
  3. Nevada
  4. North Las Vegas
  5. Physician Assistant
  6. NPI Profile

GUADALUPE R DOMINGUEZ PAC
NPI 1649268913
Physician Assistant in North Las Vegas, NV

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
1905 CIVIC CENTER DR, NORTH LAS VEGAS, NV 89030(702) 877-9514(702) 312-3510 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2020, Oct 29, 2020 (2 updates tracked since 2020).

About Guadalupe R Dominguez Pac NPPES

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

GUADALUPE R DOMINGUEZ PAC (NPI 1649268913) is an individual physician assistant in North Las Vegas, Nevada, licensed in Nevada (PA849) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1649268913
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGUADALUPE R DOMINGUEZCredential: PAC
Location Address1905 CIVIC CENTER DRNorth Las Vegas, NV 89030-7143
Mailing Address5701 W Charleston Blvd, Suite 100Las Vegas, NV 89146-1217 · (702) 312-3444 · Fax (702) 312-3510
Phone(702) 877-9514
Fax(702) 312-3510
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateOctober 11, 2005
Last NPPES UpdateNovember 18, 20202 updates tracked since enumeration
NPPES CertifiedNovember 18, 2020
✔ NPI 1649268913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NV · PA849
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1905 CIVIC CENTER DR, North Las Vegas, NV 89030
Open in Google Maps ↗

Other Identifiers 1

Medicaid1649268913NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Guadalupe R Dominguez Pac 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 ID5597736785
PECOS Enrollment IDI20040802001575
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 4

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.

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.
78 services78 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.
68 services57 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.
47 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89030 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 5

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

SANDRA LIPOVACA M.D.
Pediatrics
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 877-9514
BIO-MEDICAL APPLICATIONS OF NEVADA, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1905 CIVIC CENTER DR, SUITE 201
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-9516
LAS VEGAS KIDNEY CLINIC INC.
Clinic/Center (Medical Specialty)
1905 CIVIC CENTER DR, STE 201
NORTH LAS VEGAS, NV 89030
Clark County (702) 214-9516
CANO HEALTH NEVADA PLLC
General Practice
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (855) 226-6633
CENTERWELL SENIOR PRIMARY CARE (NV) PC
Internal Medicine
1905 CIVIC CENTER DR
NORTH LAS VEGAS, NV 89030
Clark County (702) 475-8874

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 Guadalupe Dominguez's NPI number?

The NPI number for Guadalupe Dominguez is 1649268913. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Guadalupe Dominguez located?

Guadalupe Dominguez practices at 1905 Civic Center Dr, North Las Vegas, NV 89030. The listed phone number is (702) 877-9514.

What is Guadalupe Dominguez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Guadalupe Dominguez enrolled in Medicare?

Yes. Guadalupe 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.

What insurance does Guadalupe Dominguez accept?

Health plans from Ambetter from Arizona Complete Health list Guadalupe Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Guadalupe Dominguez was last updated on November 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.