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NOEL DOMINGUEZ
NPI 1932584737
Nurse Practitioner - Pediatrics in San Bernardino, CA

Active since July 22, 2015PECOS Enrolled
1455 3RD AVE, SAN BERNARDINO, CA 92408(909) 382-7100 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Nov 28, 2017 (2 updates tracked since 2017).

About Noel Dominguez NPPES

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

NOEL DOMINGUEZ (NPI 1932584737) is an individual pediatrics provider in San Bernardino, California, licensed in California (95002720) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Bernardino.

NPPES Registry Identity

NPI1932584737
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameNOEL DOMINGUEZ
Location Address1455 3RD AVESan Bernardino, CA 92408-0218
Mailing Address22373 Blue Lupine CirGrand Terrace, CA 92313-5466 · (909) 851-2565
Phone(909) 382-7100
Sole ProprietorNo
Enumeration DateJuly 22, 2015
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1932584737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95002720
1455 3RD AVE, San Bernardino, CA 92408
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Other Names 1

Former Name (1)Noel Thakkar

Secondary Practice Location 1

Location 1250 S G StSan Bernardino, CA 92410-3320 · Phone (909) 382-7100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Noel Dominguez 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 Noel Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sac Health System
0.7 mi
Federally Qualified Health Center (FQHC)
1454 E 2ND ST
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 455 clinicians in this Medicare group
NPI 1013935915 (909) 382-7100

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92408 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
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 2

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

DR. MAI-LINH NGOC TRAN M.D.
Family Medicine
1455 3RD AVE
SAN BERNARDINO, CA 92408
San Bernardino County (909) 382-7100
MFI RECOVERY CENTER
Substance Abuse Rehabilitation Facility
1455 3RD AVE
SAN BERNARDINO, CA 92408
San Bernardino County (951) 683-6596

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 Noel Dominguez's NPI number?

The NPI number for Noel Dominguez is 1932584737. It was assigned to this individual provider in the NPPES registry on July 22, 2015. The provider is also known as Noel Thakkar.

Where is Noel Dominguez located?

Noel Dominguez practices at 1455 3rd Ave, San Bernardino, CA 92408. The listed phone number is (909) 382-7100.

What is Noel Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Noel Dominguez enrolled in Medicare?

Yes. Noel Dominguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Noel Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Noel Dominguez reassigns Medicare benefits to Sac Health System (San Bernardino, 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 Noel Dominguez'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 Noel Dominguez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.