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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Michele Domico was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 25, 2007PECOS Enrolled

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: October 18, 2026.

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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.

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

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Michele B Domico Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Michele Domico reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Hospital Of Orange County

1.0 mi

Pediatrics

1201 W LA VETA AVE
Orange, CA 92868

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Childrens Hospital Of Orange County
190 clinicians in this Medicare group

NPI 1275975104 (714) 509-8649

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 enrollment system.

Which organization bills Medicare for Michele Domico's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Domico reassigns Medicare benefits to Children's Hospital Of Orange County (Orange, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Domico's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michele Domico was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.