Gloria Dominguez, FNP
NPI 1912064619ActiveIndividual· Nurse Practitioner, Family· Baldwin Park, CA
Nurse Practitioner, Family (FNP) with Southern California Permanente Medical Group, practicing in Baldwin Park, California. Their prescriptions cost Medicare Part D more than their services did: $21,305 for 1,455 claims, against $723.31 paid for services in 2024. Lists Kaiser Foundation Hospital Fontana/Ontario as a hospital affiliation.
Overview
| NPI | 1912064619 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jan 2, 2007 |
| Last updated in NPPES | Dec 1, 2021 |
| Certified by provider | Dec 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 14965 | 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) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 17 across 2 procedure codes |
| Paid by Medicare | $723.31 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,455 · 4,019 30-day fills |
|---|---|
| Patients | 785 |
| Total drug cost | $21,305 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Southern California Permanente Medical GroupRedlands, CA · 11,293 clinicians
Hospital affiliation
- Kaiser Foundation Hospital Fontana/OntarioFontana, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 19 family nurse practitioners in Baldwin Park · All family nurse practitioners in California