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

NPI Status: Active since May 25, 2018

Contact Information

12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA
ZIP 22033
Phone: (703) 349-1379
Fax: (214) 764-0880

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  • Individual
  • Male
  • Specialist/Technologist, Other
  • Surgical Assistant

About EDUARDO DOMINGUEZ

This page provides the complete NPI Profile along with additional information for Eduardo Dominguez, a provider established in Fairfax, Virginia with a medical specialization in Specialist/technologist, Other, focusing in surgical assistant . The healthcare provider is registered in the NPI registry with number 1982195939 assigned on May 2018. The practitioner's primary taxonomy code is 246ZC0007X with license number 12-135 (WI). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1982195939
Provider Name
EDUARDO JOSE DOMINGUEZ SA-C
Gender
Male
Entity Type
Individual
Location Address
12011 LEE JACKSON MEMORIAL HWY FAIRFAX, VA 22033
Location Phone
(703) 349-1379
Location Fax
(214) 764-0880
Mailing Address
PO BOX 221135 CHANTILLY, VA 20153
Mailing Phone
(703) 349-1379
Is Sole Proprietor?
Yes
Enumeration Date
05-25-2018
Last Update Date
03-01-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist/Technologist, Other Surgical Assistant

Taxonomy Code
246ZC0007X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
12-135
License State
WI
Taxonomy Description
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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982195939, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
9
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 2 + 9 + 1 + 0 + 9 + 6 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1982195939.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Rheumatology)
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Internal Medicine (Pulmonary Disease)
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Dentist (General Practice)
12011 LEE JACKSON MEMORIAL HWY, 105
FAIRFAX, VA 22033
Dentist (General Practice)
12011 LEE JACKSON MEMORIAL HWY, SUITE 105
FAIRFAX, VA 22033
Urology
12011 LEE JACKSON MEMORIAL HWY, KAISER PERMANENTE PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Registered Nurse (Urology)
12011 LEE JACKSON MEMORIAL HWY, 2ND FLOOR
FAIRFAX, VA 22033
Internal Medicine (Cardiovascular Disease)
12011 LEE JACKSON MEMORIAL HWY, PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Chiropractor (Neurology)
12011 LEE JACKSON MEMORIAL HWY, 2ND FLOOR
FAIRFAX, VA 22033
Pharmacist (Pharmacotherapy)
12011 LEE JACKSON MEMORIAL HWY, 2ND FLOOR
FAIRFAX, VA 22033
Pharmacist (Pharmacotherapy)
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Dentist
12011 LEE JACKSON MEMORIAL HWY, SUITE 104
FAIRFAX, VA 22033
Clinic/Center (Ambulatory Family Planning Facility)
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12011 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Nurse Practitioner (Family)
12011 LEE JACKSON MEMORIAL HWY, KAISER PERMANENTE PENDERBROOK MEDICAL CENTER
FAIRFAX, VA 22033
Family Medicine
12011 LEE JACKSON MEMORIAL HWY, SUITE 504
FAIRFAX, VA 22033
Dentist (General Practice)
12011 LEE JACKSON MEMORIAL HWY, SUITE 502
FAIRFAX, VA 22033
Dentist
12011 LEE JACKSON MEMORIAL HWY, SUITE 502
FAIRFAX, VA 22033
Pediatrics
12011 LEE JACKSON MEMORIAL HWY, SUITE 220
FAIRFAX, VA 22033
Acupuncturist
12011 LEE JACKSON MEMORIAL HWY, SUITE #320
FAIRFAX, VA 22033
Clinic/Center (Dental)
12011 LEE JACKSON MEMORIAL HWY, 105
FAIRFAX, VA 22033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982195939, enumerated as an "individual" on May 25, 2018.

The provider is located at 12011 LEE JACKSON MEMORIAL HWY FAIRFAX, VA 22033 and the phone number is (703) 349-1379.

Specialist/Technologist, Other with taxonomy code 246ZC0007X and a focus in Surgical Assistant.