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

Diana Santo Domingo, MD

Individual provider Dermatology Physician · NPI 1437350709

Diana Santo Domingo, MD is a Dermatology in Santa Rosa, California. Qualified in 2004, 22 years ago. Practices with Berman Skin Institute Medical Group Inc, a 27-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3883 Airway Dr Ste 203
Santa Rosa, CA 95403-1671
Phone: (707) 521-4495
Fax: (707) 573-5421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9460 N Name Uno Ste 210, Gilroy, CA 95020-3532 — (408) 847-0888
  • 603 N Flamingo Rd, Pembroke Pines, FL 33028-1013 — (216) 844-7834

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence C168169 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence 997612 (CA)

Record details

NPI number1437350709
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 31, 2007
Last updated in NPPESSeptember 22, 2023
Certification dateSeptember 22, 2023

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Berman Skin Institute Medical Group Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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