Fernando Alfonso Dominguez, MD in San Ysidro, CA

Fernando Alfonso Dominguez, MD is a medicare enrolled "Internal Medicine - Infectious Disease" physician in San Ysidro, California. His current practice location is 4004 Beyer Blvd, San Ysidro, California. You can reach out to his office (for appointments etc.) via phone at (619) 662-4100.

Fernando Alfonso Dominguez is licensed to practice in California (license number A154708) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972917672.

Contact Information

	Fernando Alfonso Dominguez, MD
	4004 Beyer Blvd, San Ysidro, CA 92173-2007
	(619) 662-4100
	Not Available

Map and Direction

Physician's Profile

Full Name	Fernando Alfonso Dominguez
Gender	Male
Speciality	Internal Medicine - Infectious Disease
Location	4004 Beyer Blvd, San Ysidro, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972917672
Provider Enumeration Date: 06/20/2014
Last Update Date: 04/22/2025

Medicare PECOS Information:

PECOS PAC ID: 9133546146
Enrollment ID: I20200903003546

Medical Identifiers

Medical identifiers for Fernando Alfonso Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972917672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0200X	Internal Medicine - Infectious Disease	A154708 (California)	Primary

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. Fernando Alfonso Dominguez allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

Entity Name	Telemedicine Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349

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. Fernando Alfonso 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 Address	Practice Location Address
Fernando Alfonso Dominguez, MD 1601 Precision Park Ln, San Ysidro, CA 92173-1345 Ph: () -	Fernando Alfonso Dominguez, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100

Reviews and Comments

Internal Medicine Doctors in San Ysidro, CA

Sharonya Shrivastava, Infectious Disease Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Martin Valera Consunji, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Andrea Helen Polesky, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Jerry Chun-han Chen, Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Michele A. Lamantia, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro Health Center, San Ysidro, CA 92173 Phone: 619-917-7122 Fax: 619-474-3722
Ms. Kelley Alexis Butler, MD, MPH Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 4050 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100
Dr. Chitra Fernando, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100

Fernando Alfonso Dominguez, MD - Medicare Internal Medicine in San Ysidro, CA