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TINA L. R. DOMINGUEZ PA-C, MMS
NPI 1922305671
Physician Assistant in San Ramon, CA

Active since February 15, 2011
2305 CAMINO RAMON STE 225, SAN RAMON, CA 94583(253) 471-4509(925) 347-1454 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tina L. R. Dominguez Pa-c, Mms NPPES

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

TINA L. R. DOMINGUEZ PA-C, MMS (NPI 1922305671) is an individual physician assistant in San Ramon, California, licensed in California (PA21463) and active in the NPI registry since February 2011. She maintains a secondary practice location in Walnut Creek.

NPPES Registry Identity

NPI1922305671
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTINA L. R. DOMINGUEZCredential: PA-C, MMS
Location Address2305 CAMINO RAMON STE 225San Ramon, CA 94583-1394
Mailing Address525 Olympic AveHayward, CA 94544-6528 · (650) 766-2923
Phone(253) 471-4509
Fax(925) 347-1454
Sole ProprietorNo
Enumeration DateFebruary 15, 2011
Last NPPES UpdateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
✔ NPI 1922305671 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 · PA21463
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 ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X · License PA21463 (CA)
2305 CAMINO RAMON STE 225, San Ramon, CA 94583
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Secondary Practice Location 1

Location 1370 N Wiget Ln Ste 210Walnut Creek, CA 94598-2452 · Phone (925) 935-6252 · Fax (925) 347-1454

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 Tina Dominguez's NPI number?

The NPI number for Tina Dominguez is 1922305671. It was assigned to this individual provider in the NPPES registry on February 15, 2011.

Where is Tina Dominguez located?

Tina Dominguez practices at 2305 Camino Ramon Ste 225, San Ramon, CA 94583. The listed phone number is (253) 471-4509.

What is Tina Dominguez's specialty?

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

When was this NPI record last updated?

The NPPES record for Tina Dominguez was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.