Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689784530 Individual Practitioner Female Practitioner

Kathleen H Dominguez , PA

Physician Assistant • Encinitas, CA

Professional Overview & Biography Verified Profile Summary

Kathleen Dominguez, PA is a registered healthcare professional specializing in Physician Assistant in Encinitas, CA. Practice services are available at 477 N EL CAMINO REAL STE B105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

477 N El Camino Real Ste B105

Encinitas, CA 920241330

Telephone 7607537143
Fax 7607537114
Associated Practice Facility / Clinic
🏢 Scripps Health Facility NPI 1861477846

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Encinitas, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
53 Specialists

Practicing in Encinitas, CA (14617 Statewide)

Telehealth Adoption Rate
32.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA17714

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License CA PA 17714

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1023127032

Doctor of Medicine (M.D.)

NPI 1083766752

Doctor of Medicine (M.D.)

NPI 1205123098

Doctor of Medicine (M.D.)

NPI 1265541270

Doctor of Medicine (M.D.)

Natalie Mcnally , NP

Nurse Practitioner - Pediatrics

NPI 1275839508

Nurse Practitioner

NPI 1356375653

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address October 28, 2019

Registered at 10790 RANCHO BERNARDO RD, SAN DIEGO, CA 921275705 (Tel: 7607537143)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 477 N EL CAMINO REAL STE B105, ENCINITAS, CA 920241330 (Tel: 7607537143)

📍
Updated Business Mailing Address July 08, 2007

Registered at 477 N EL CAMINO REAL STE B105, ENCINITAS, CA 920241330 (Tel: 7607537143)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KATHLEEN DOMINGUEZ, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #PA 17714 in CA)

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689784530
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: October 28, 2019
Sole Proprietor: No

Mailing Address

10790 Rancho Bernardo Rd

San Diego, CA 921275705

Phone: 7607537143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.