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FERNANDO ALFONSO DOMINGUEZ MD
NPI 1972917672
Internal Medicine - Infectious Disease in San Ysidro, CA

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
4004 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2022, Sep 27, 2021, Aug 31, 2020 (3 updates tracked since 2020).

About Fernando Alfonso Dominguez Md NPPES

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

FERNANDO ALFONSO DOMINGUEZ MD (NPI 1972917672) is an individual infectious disease provider in San Ysidro, California, licensed in California (A154708) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1972917672
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameFERNANDO ALFONSO DOMINGUEZCredential: MD
Location Address4004 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing Address1601 Precision Park LnSan Ysidro, CA 92173-1345
Phone(619) 662-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2014
Last NPPES UpdateApril 22, 20253 updates tracked since enumeration
NPPES CertifiedApril 22, 2025
✔ NPI 1972917672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in CA · A154708
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
4004 BEYER BLVD, San Ysidro, CA 92173
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fernando Alfonso Dominguez 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 ID9133546146
PECOS Enrollment IDI20200903003546
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 Reassignments

2

Medicare enrollment records show Fernando Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Centers Of San Diego Inc
4.0 mi
Federally Qualified Health Center (FQHC)
352 L ST
Chula Vista, CA 91911
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1083959464 (619) 515-2500
Telehealth Specialty Medical Group
487 mi
Emergency Medicine
3400 DOUGLAS BLVD STE 225
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Telemedicine Group PC
  • 205 clinicians in this Medicare group
NPI 1326338237 (916) 740-3721

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 92173 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC
Clinic/Center (Rural Health)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 205-6331
VIRGINIA LIERAS SANCHEZ RN
Registered Nurse (Infection Control)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
INGA NEILSEN GONZALEZ MFC
Marriage & Family Therapist
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 428-4463
HUNG GI PA-C
Physician Assistant (Medical)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
SHARONYA SHRIVASTAVA
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. MARTIN VALERA CONSUNJI MD
Internal Medicine
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
KRISTINE PORTO MADURSKI PA
Physician Assistant
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 428-4463
ANDREA HELEN POLESKY MD
Internal Medicine (Infectious Disease)
4004 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100

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 Fernando Dominguez's NPI number?

The NPI number for Fernando Dominguez is 1972917672. It was assigned to this individual provider in the NPPES registry on June 20, 2014.

Where is Fernando Dominguez located?

Fernando Dominguez practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Fernando Dominguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Fernando Dominguez enrolled in Medicare?

Yes. Fernando Dominguez 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.

Which organizations bill Medicare for Fernando Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Dominguez reassigns Medicare benefits to 2 organizations: Family Health Centers Of San Diego Inc (Chula Vista, CA) and Telehealth Specialty Medical Group (Roseville, CA). Each 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 Fernando 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 Fernando Dominguez was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.