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Robert Dominguez, DDS

General Practice · San Jose

NPI 1154339125

Medicare standing
3 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Revoked
  • 2 Medical Board actions on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Dominguez’s office at (408) 926-2221 to ask if they take your plan before you enroll.

California Medical Board record

Licence C25510 · Revoked

Licence status: Revoked · since 1963 · Rosalind Franklin University, the Chicago Medical School. Board flags: Revoked.

License has been revoked as a result of disciplinary action rendered by the Board. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1987-12-28Board disciplineDisciplineRevoked. · 09 1986900809
1979-04-22Board disciplineDisciplineRevoked. · 02 1978200223

Professional record

NPI
1154339125
Licence
CA 25510California C25510: Revoked
More record details
Sole proprietor
No
Taxonomy
General practice (208D00000X)
Mailing address
750 N. Capitol Ave, C-8, San Jose, CA, 95133
NPI first listed
2006-08-04
NPI last updated
2007-07-08

This is when the NPI record was last certified, not a medical board exam.