Otto Raul Alonzo Dominguez, D.D.S.
NPI 1164636270ActiveIndividual· Dentist, General Practice· Clovis, CA
Dentist, General Practice (D.D.S.) in Clovis, California, licensed in CA, with an NPI issued in May 2007.
Overview
| NPI | 1164636270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | Yes |
| NPI issued | May 9, 2007 |
| Last updated in NPPES | Mar 21, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 50719 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, General Practice providers in Clovis
- 1851090708
- 1477414837
- 1538268420
- 1922185115
- 1568671519
- 1508089889
- 1164278974
- 1821934282
- 1013567882
- 1063023158
- 1881364388
- 1518735075