DESIREE DOMINGO-FORASTE (M.D.) – Family Medicine Physician, NPI 1104988898

DESIREE DOMINGO-FORASTE (M.D.) is a healthcare provider. based in Ventura, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. G55127 (CA). The NPI Number for DESIREE DOMINGO-FORASTE (M.D.) is 1104988898

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DESIREE DOMINGO-FORASTE (M.D.)
NPI
1104988898
Phone
(805) 659-1166
Address
970 PETIT AVE STE D
Enumeration Date
16 December 2006
Last Update Date
3 October 2013

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
8056672841
Graduation Year
1984 (42 years ago)
PAC ID
4486696820
Group Practice PAC ID
9537155676
Professional Enrollment ID
I20050526001061
Address ID
CA930032803VE2721XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DESIREE DOMINGO-FORASTE (M.D.)

  • 970 PETIT AVE STE D

    VENTURA, CA 930042215

    Phone: (805) 659-1166

    Fax: (805) 659-5765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $249.

Total Amount is formed as General ($249) + Research ($0) + Ownership ($0) = $249.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Endogastric Solutions, Inc ($67).

Total Amount

$249

General + Research + Ownership

Payments

11

Total payment records

General Amount

$249

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050526001061IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes326151$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit137137$0
99215Established patient office or other outpatient visit, 40-54 minutes11192$0
G0444Annual depression screening, 5 to 15 minutes8080$0
99213Established patient office or other outpatient visit, 20-29 minutes7965$0
View full utilization report →

Insurance plans in this area (ZIP 93004)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537155676View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Oral Surgery, NeurologyCA
Physician AssistantCA
-CA
Family PracticeCA
Physician AssistantCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA
Certified Nurse Midwife (Cnm)CA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DESIREE DOMINGO-FORASTE (M.D.) in U.S. healthcare records?
The official identifier for DESIREE DOMINGO-FORASTE (M.D.) is NPI 1104988898.
Is DESIREE DOMINGO-FORASTE (M.D.) still an active registrant?
DESIREE DOMINGO-FORASTE (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DESIREE DOMINGO-FORASTE (M.D.)'s focus?
For DESIREE DOMINGO-FORASTE (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DESIREE DOMINGO-FORASTE (M.D.)?
Travel planning: use Ventura, California as the reference point for DESIREE DOMINGO-FORASTE (M.D.), then confirm.
When was this NPI issued?
Enumeration for DESIREE DOMINGO-FORASTE (M.D.) is noted as December 16, 2006 where the registry provides it.

Similar Providers

DR. MICHAEL HUGH BAILEY (MD)

Family Medicine Physician
3555, Loma Vista Road, Ventura, Ventura County, California, 93003, United States
NPI: 1770584484

IRENE BIH WAKAM (MD)

Family Medicine Physician
3555, Loma Vista Road, Ventura, Ventura County, California, 93003, United States
NPI: 1568455251

WILLIAM ALFRED SPEITEL (MD)

Family Medicine Physician
Olivas Park Drive, Ventura, Ventura County, California, 93003, United States
NPI: 1710971346

ROBERT KEITH MOFFATT MD

Family Medicine Physician
231, North Dos Caminos Avenue, Foothill Terrace No. 1, Ventura, Ventura County, California, 93003, United States
NPI: 1073500062

ROBERT KEITH MOFFATT (MD)

Family Medicine Physician
231, North Dos Caminos Avenue, Foothill Terrace No. 1, Ventura, Ventura County, California, 93003, United States
NPI: 1952399974

DR. STEVE KENT JONES (MD)

Family Medicine Physician
5855, Olivas Park Drive, Ventura, Ventura County, California, 93003, United States
NPI: 1407847734
PO BOX 10069
NPI: 1649255498

FAMILY TO FAMILY MEDICAL CENTER INC

Family Medicine Physician
970, South Petit Avenue, West Saticoy, Ventura, Ventura County, California, 93004, United States
NPI: 1043298490