Mark Ryan Ventura Domingo
NPI 1245084458ActiveIndividual· Spec/Tech, Pathology, Medical Technologist· San Juan Capistrano, CA
Spec/Tech, Pathology, Medical Technologist in San Juan Capistrano, California, licensed in CA, with an NPI issued in April 2024.
Overview
| NPI | 1245084458 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 15, 2024 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Spec/Tech, Pathology, Medical Technologist Primary | 246QM0706X | MTA-02245121 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
Other Spec/Tech, Pathology, Medical Technologist providers in San Juan Capistrano
- 1588393755
All Spec/Tech, Pathology, Medical Technologist providers in California