AMANDA ANTOINETTE DOMINGUEZ (PA-C) – Medical Physician Assistant, NPI 1265059307

Medical Physician Assistant

AMANDA ANTOINETTE DOMINGUEZ (PA-C) is a healthcare provider. based in Moorpark, California. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA17489 (CA). The NPI Number for AMANDA ANTOINETTE DOMINGUEZ (PA-C) is 1265059307

Main info

Female

23 Years Of Experience

Accepts Medicare Assignment

Name

AMANDA ANTOINETTE DOMINGUEZ (PA-C)

NPI

1265059307

Phone

(310) 270-3716

Address

6584 PINNACLE CT

Enumeration Date

5 July 2020

Last Update Date

5 July 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8054950551124

Graduation Year

2003 (23 years ago)

PAC ID

5991129298

Group Practice PAC ID

4486682648

Professional Enrollment ID

I20200720000208

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience34

Completeness75

Years active:5State licenses:1Digital endpointsOther names

Provider Addresses for AMANDA ANTOINETTE DOMINGUEZ (PA-C)

6584 PINNACLE CT
MOORPARK, CA 930211272
Phone: (310) 270-3716
Type: Mailing
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 913611992
Phone: (805) 495-0551
Type: Location
301 Science Dr Ste 280
Moorpark, CA 930210803
Phone: (805) 530-7110
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($172).

Total Amount

$247

General + Research + Ownership

Payments

Total payment records

General Amount

$247

General payments

Research Amount

Research funding

Ownership Amount

Ownership interests

Ownership Count

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

Company	Amount
ABBVIE INC.	$172
SUN PHARMACEUTICAL INDUSTRIES INC.	$51
Galderma Laboratories, L.P.	$24

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93021)

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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: 4486682648View full group profile

Name	Specialty	State
GARY ROY CARLSON (MD)	-	CA
DR. HOLLY LOUISE RAUSCH (M.D.)	-	CA
JASMINE KHACHATRIAN (PA)	-	CA
JUDITH SABOLCH FELDMAN (MD)	-	CA
RANDOLPH STEVEN CAPRI (MD)	-	CA

Reviews

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Frequently asked questions

How do I look up AMANDA ANTOINETTE DOMINGUEZ (PA-C) by NPI?

Use NPI 1265059307 when you need to reference AMANDA ANTOINETTE DOMINGUEZ (PA-C) in forms, claims, or directories.

Does this profile mean AMANDA ANTOINETTE DOMINGUEZ (PA-C) is currently active?

Yes — AMANDA ANTOINETTE DOMINGUEZ (PA-C) appears active in the national provider directory.

What field does AMANDA ANTOINETTE DOMINGUEZ (PA-C) work in?

You can think of AMANDA ANTOINETTE DOMINGUEZ (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.

What location metadata exists for AMANDA ANTOINETTE DOMINGUEZ (PA-C)?

The page summarizes Moorpark, California for AMANDA ANTOINETTE DOMINGUEZ (PA-C); expand the address list for detail.

Does Medicare enrollment show here?

Medicare enrollment screens are separate from the basic NPI extract shown here.