| Fernando Alfonso Dominguez, MD | |
|
4004 Beyer Blvd, San Ysidro, CA 92173-2007 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Fernando Alfonso Dominguez |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 14 Years |
| Location | 4004 Beyer Blvd, San Ysidro, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972917672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A154708 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ucsf Health Hyde Hospital | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Telemedicine Group Pc | 9830351824 | 94 |
| Centro De Salud De La Comunidad De San Ysidro,inc. | 6901709435 | 291 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Alfonso Dominguez, MD 1601 Precision Park Ln, San Ysidro, CA 92173-1345 Ph: Not Available | Fernando Alfonso Dominguez, MD 4004 Beyer Blvd, San Ysidro, CA 92173-2007 Ph: (619) 662-4100 |
Sharonya Shrivastava, Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |
Dr. Martin Valera Consunji, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |
Andrea Helen Polesky, MD Infectious Disease Medicare: Accepting Medicare Assignments 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 |
Dr. Carlos Carriedo, DO Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |
Dr. Jonathan Semaan, DO Infectious Disease Medicare: May Accept Medicare Assignments Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-662-4100 |
Dr. Chitra Fernando, M.D. Infectious Disease Medicare: Medicare Enrolled Practice Location: 3364 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |