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Active NPI 1689837916 Individual Practitioner Male Practitioner

Michael A Domino , PA-C

Physician Assistant • Albuquerque, NM

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Michael Domino, PA-C is a registered healthcare professional specializing in Physician Assistant in Albuquerque, NM. Official NPI practice address is registered at 505 ELM ST NE.

Practice Location & Contact Primary Location

Practice Address

505 Elm St Ne

Albuquerque, NM 871022500

Telephone 5052382027
Associated Practice Facility / Clinic
🏢 Manzano Medical Group, P.c. Facility NPI 1881704096

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Albuquerque, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.6 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
499 Specialists

Practicing in Albuquerque, NM (865 Statewide)

Telehealth Adoption Rate
14.0% 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

CMS Verified: 2025-08-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NM PA2008-0031

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karen Bexfield , MSPT

Physical Therapist

NPI 1013192939

Master of Science in Physical Therapy

Elizabeth Linde , PTA

Physical Therapy Assistant

NPI 1043852031

Physical Therapist Assistant

Jennifer Brooks , OTRL

Occupational Therapist

NPI 1053446005

Occupational Therapist Registered & Licensed

NPI 1063801140

Doctor of Physical Therapy

Jason St. Pierre , MSPT

Physical Therapist - Orthopedic

NPI 1104063320

Master of Science in Physical Therapy

Kerry Worthing , MS, CCC-SLP

Speech-Language Pathologist

NPI 1114218047

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Business Mailing Address February 13, 2025

Registered at 800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 871064310 (Tel: 5052721476)

NPI Profile Active July 07, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2008

Registered at 505 ELM ST NE, ALBUQUERQUE, NM 871022500 (Tel: 5052382027)

📍
Updated Business Mailing Address July 07, 2008

Registered at 2704 SIERRA DR NE, ALBUQUERQUE, NM 871102944 (Tel: 5052382027)

👤
Provider Name / Credentials Updated July 07, 2008

Recorded as MICHAEL DOMINO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2008

Physician Assistant (License #PA2008-0031 in NM)

🟢
Initial NPI Registration & Enumeration July 07, 2008

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: 1689837916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2008
Last Update: August 05, 2025
Sole Proprietor: No

Mailing Address

800 Bradbury Dr Se Ste 116

Albuquerque, NM 871064310

Phone: 5052721476

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.