KATHLEEN H DOMINGUEZ P.A.
NPI 1689784530
Physician Assistant in Encinitas, CA

Q: What is Kathleen Dominguez's NPI number?

The NPI number for Kathleen Dominguez is 1689784530. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Kathleen Dominguez's specialty?

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

Active since August 30, 2006PECOS Enrolled

477 N EL CAMINO REAL STE B105, ENCINITAS, CA 92024(760) 753-7143(760) 753-7114 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kathleen H Dominguez P.a. NPPES

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

KATHLEEN H DOMINGUEZ P.A. (NPI 1689784530) is an individual physician assistant in Encinitas, California, licensed in California (PA17714) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689784530

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHLEEN H DOMINGUEZCredential: P.A.

Location Address477 N EL CAMINO REAL STE B105Encinitas, CA 92024-1330

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (760) 753-7143 · Fax (760) 753-7114

Phone(760) 753-7143

Fax(760) 753-7114

Sole ProprietorNo

Enumeration DateAugust 30, 2006

Last NPPES UpdateOctober 28, 2019

✔ NPI 1689784530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA17714

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.

Also ListedPediatricsTaxonomy 208000000X · License PA 17714 (CA)

477 N EL CAMINO REAL STE B105, Encinitas, CA 92024

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen H Dominguez P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92024 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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 10

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

GARY P GROSS M. D.

Pediatrics