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EDUARDO JOSE DOMINGUEZ SA-C
NPI 1982195939
Specialist/Technologist, Other - Surgical Assistant in Fairfax, VA

Active since May 25, 2018
12011 LEE JACKSON MEMORIAL HWY, FAIRFAX, VA 22033(703) 349-1379(214) 764-0880 Get Directions Write a Review

NPPES record last updated: March 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2019, May 25, 2018 (2 updates tracked since 2018).

About Eduardo Jose Dominguez Sa-c NPPES

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

EDUARDO JOSE DOMINGUEZ SA-C (NPI 1982195939) is an individual surgical assistant in Fairfax, Virginia, licensed in Wisconsin (12-135) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1982195939
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameEDUARDO JOSE DOMINGUEZCredential: SA-C
Location Address12011 LEE JACKSON MEMORIAL HWYFairfax, VA 22033
Mailing AddressPo Box 221135Chantilly, VA 20153-1135 · (703) 349-1379
Phone(703) 349-1379
Fax(214) 764-0880
Sole ProprietorYes
Enumeration DateMay 25, 2018
Last NPPES UpdateMarch 1, 20192 updates tracked since enumeration
✔ NPI 1982195939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in WI · 12-135
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
12011 LEE JACKSON MEMORIAL HWY, Fairfax, VA 22033
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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.

MRS. SYLVIA SUSAN SARIN PA-C
Physician Assistant (Medical)
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 383-5443
PARAMOUNT CARE PHYSICIANS LLP
Internal Medicine
12011 LEE JACKSON MEMORIAL HWY, SUITE 230
FAIRFAX, VA 22033
Fairfax County (703) 222-0002
BNM, INC.
Pediatrics
12011 LEE JACKSON MEMORIAL HWY, SUITE 220
FAIRFAX, VA 22033
Fairfax County (703) 865-5437
BARRY JOHN DECKER M.D.
Internal Medicine (Pulmonary Disease)
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Fairfax County (703) 383-5400
DR. DAVID C LIPPS MD
Chiropractor (Neurology)
12011 LEE JACKSON MEMORIAL HWY, 2ND FLOOR
FAIRFAX, VA 22033
Fairfax County (703) 383-5411
DR. CONSTANTINE TZIROS MD
Internal Medicine (Cardiovascular Disease)
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Fairfax County (703) 383-5400
WAYNE SCHECHT D.D.S.
Dentist (General Practice)
12011 LEE JACKSON MEMORIAL HWY, SUITE 105
FAIRFAX, VA 22033
Fairfax County (703) 273-5354
CLIFTON CARE LLC
Clinic/Center (VA)
12011 LEE JACKSON MEMORIAL HWY, SUITE 102
FAIRFAX, VA 22033
Fairfax County (703) 385-8378

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 Eduardo Dominguez's NPI number?

The NPI number for Eduardo Dominguez is 1982195939. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Eduardo Dominguez located?

Eduardo Dominguez practices at 12011 Lee Jackson Memorial Hwy, Fairfax, VA 22033. The listed phone number is (703) 349-1379.

What is Eduardo Dominguez's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Eduardo Dominguez was last updated on March 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.