Dr Jesse Serrano Dominguez, DO - Medicare Family Practice in Fontana, CA

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Dr Jesse Serrano Dominguez, DO is a medicare enrolled "Family Medicine" physician in Fontana, California. He went to Western University Of Health Sciences College Of Dental Med and graduated in 2002 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cucamonga Valley Medical Group Inc and his current practice location is 16839 Ramona Ave Ste 401, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 429-2864.

Dr Jesse Serrano Dominguez is licensed to practice in California (license number 20A8942) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1467534313.

Contact Information

Dr Jesse Serrano Dominguez, DO
16839 Ramona Ave Ste 401,
Fontana, CA 92336-2014
(909) 429-2864
Not Available

Map and Direction




Physician's Profile

Full NameDr Jesse Serrano Dominguez
GenderMale
SpecialityFamily Practice
Experience24 Years
Location16839 Ramona Ave Ste 401, Fontana, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jesse Serrano Dominguez attended and graduated from Western University Of Health Sciences College Of Dental Med in 2002
  NPI Data:
  • NPI Number: 1467534313
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 01/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961581491
  • Enrollment ID: I20080508000307

Medical Identifiers

Medical identifiers for Dr Jesse Serrano Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467534313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A8942 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Antonio Regional HospitalUpland, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cucamonga Valley Medical Group Inc670989988323

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jesse Serrano Dominguez allows following entities to bill medicare on his behalf.
Entity NameCucamonga Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497783229
PECOS PAC ID: 6709899883
Enrollment ID: O20060712000099
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740519081
PECOS PAC ID: 3678602802
Enrollment ID: O20100724000249
Entity NameMountain View Urgent Care Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023306784
PECOS PAC ID: 7214107861
Enrollment ID: O20110908002279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jesse Serrano Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jesse Serrano Dominguez, DO
16839 Ramona Ave Ste 401,
Fontana, CA 92336-2014

Ph: (909) 429-2864		Dr Jesse Serrano Dominguez, DO
16839 Ramona Ave Ste 401,
Fontana, CA 92336-2014

Ph: (909) 429-2864

Reviews and Comments


Family Medicine Doctors in Fontana, CA

Robert M. Theal, MD
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Todd A. Westra, MD
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Pushkar Chand, M.D.
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Huy Phan,
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William J. Delo, DO
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John R. Sharpe Jr., MD
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Miguel Angel Martinez, MD
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Practice Location: 16854 Ivy Ave Ste A, Fontana, CA 92335
Phone: 909-791-1000    Fax: 909-781-6000

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.