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

Dino Raul Dominguez Jr., CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1629052436

Dino Raul Dominguez Jr., CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2003, 23 years ago. Practices with Scottsdale Surgical Partners, LLC, a 28-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Arizona, Florida and Maryland.

Years since qualifying
23
Licensed in
AZ, FL, MD
In the registry since
2005
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1200
Fax: (602) 263-1619
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 875 N Greenfield Rd Ste 107, Gilbert, AZ 85234-5044 — (480) 813-8700
  • 2620 N 3rd St, Phoenix, AZ 85004-1153 — (602) 489-3391
  • 8901 E Raintree Dr Ste 100, Scottsdale, AZ 85260 — (480) 767-2100
  • 8901 E Raintree Dr Ste 100, Scottsdale, AZ 85260 — (480) 767-2100
  • 222 Cheshire Rd, Severna Park, MD 21146-3215 — (410) 328-7548

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence CRNA0564 (AZ)
Registered Nurse Taxonomy 163W00000X · Licence RN3150502 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence R168347 (MD)

Record details

NPI number1629052436
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 5, 2005
Last updated in NPPESMarch 16, 2026
Certification dateMarch 16, 2026

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Scottsdale Surgical Partners, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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