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MISS MICHELE B DOMICO MD
NPI 1932305000
Pediatrics - Pediatric Critical Care Medicine in Orange, CA

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
455 S MAIN STREET, ORANGE, CA 92868(714) 532-8620(714) 289-4072 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Michele B Domico Md NPPES

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

MISS MICHELE B DOMICO MD (NPI 1932305000) is an individual pediatric critical care medicine provider in Orange, California, licensed in California (A83525) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (1999).

NPPES Registry Identity

NPI1932305000
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameMISS MICHELE B DOMICOCredential: MD
Location Address455 S MAIN STREETOrange, CA 92868-3835
Mailing Address455 S Main StOrange, CA 92868-3835 · (714) 532-8620 · Fax (714) 289-4072
Phone(714) 532-8620
Fax(714) 289-4072
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1999
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932305000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CA · A83525
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
455 S MAIN STREET, Orange, CA 92868
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Other Identifiers 1

Medicaid00A835250CA

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

Miss Michele B Domico Md 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 ID7618056102
PECOS Enrollment IDI20080508000782
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.

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 Michele Domico's NPI number?

The NPI number for Michele Domico is 1932305000. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Michele Domico located?

Michele Domico practices at 455 S Main Street, Orange, CA 92868. The listed phone number is (714) 532-8620.

What is Michele Domico's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Michele Domico enrolled in Medicare?

Yes. Michele Domico 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 Michele Domico was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.