Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brevin Joseph Domingo, PA-C

Individual provider Physician Assistant · NPI 1346076189

Brevin Joseph Domingo, PA-C is a Physician Assistant in Pomona, California. Qualified in 2024, 2 years ago. Practices with California Dermatology Institute PC, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

309 E 2nd St
Pomona, CA 91766-1854
Phone: (909) 623-6116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA65205 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1346076189
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 9, 2024
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice California Dermatology Institute Pc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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