JOANN CALLORINA DOMINGUEZ (MD) – Hospitalist Physician, NPI 1811003809

JOANN CALLORINA DOMINGUEZ (MD) is a healthcare provider. based in Oakland, California. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 16698 (NV). The NPI Number for JOANN CALLORINA DOMINGUEZ (MD) is 1811003809

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JOANN CALLORINA DOMINGUEZ (MD)
NPI
1811003809
Phone
(510) 869-6883
Address
350 HAWTHORNE AVE
Enumeration Date
22 August 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
5104901222
Graduation Year
2009 (17 years ago)
PAC ID
7911162094
Group Practice PAC ID
4284538778
Professional Enrollment ID
I20120625000239
Address ID
CA945382299FR3200XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for JOANN CALLORINA DOMINGUEZ (MD)

  • Samuel Merritt University, 350, Hawthorne Avenue, Pill Hill, Oakland, Alameda County, California, 94609, United States

    ROOM 2346

    OAKLAND, CA 946093108

    Phone: (510) 869-6883

    Fax: (510) 869-6888

    Type: Location

  • 3687, Mount Diablo Boulevard, Lafayette, Contra Costa County, California, 94549, United States

    SUITE 200

    LAFAYETTE, CA 945493717

    Phone: (916) 854-6975

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-06-25

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
I20120625000239IInternal MedicineCATBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes278266$0
99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes1313$0
99291Critical care, first 30-74 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 94609)

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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: 4284538778View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
A L L E R G Y/ I M M U N O L O G YCA
-CA
Hospitalist, Obstetrics/GynecologyCA
O B S T E T R I C S/ G Y N E C O L O G YOR
-CA
-CA
-CA
-CA
A N E S T H E S I O L O G YCA

Reviews

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Frequently asked questions

How is JOANN CALLORINA DOMINGUEZ (MD) identified in CMS data?
CMS-hosted NPPES data lists JOANN CALLORINA DOMINGUEZ (MD) with NPI 1811003809.
Does the file indicate JOANN CALLORINA DOMINGUEZ (MD) is practicing under active NPI?
Directory data currently reports JOANN CALLORINA DOMINGUEZ (MD) as active.
What is JOANN CALLORINA DOMINGUEZ (MD)'s specialty?
The listing groups JOANN CALLORINA DOMINGUEZ (MD) with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What address line appears for JOANN CALLORINA DOMINGUEZ (MD)?
JOANN CALLORINA DOMINGUEZ (MD)'s geographic hint is Oakland, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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