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

Dominic J Mintalucci, MD

Individual provider Orthopaedic Surgery Physician · NPI 1114126869

Dominic J Mintalucci, MD is an Orthopedic Surgery in Santa Rosa, California. Graduated from George Washington University School of Medicine in 2007, 19 years ago. Practices with Santa Rosa Orthopaedic Medical Group, Inc, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
19
Trained at
George Washington University School of Medicine
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

1405 Montgomery Dr
Santa Rosa, CA 95405-4557
Phone: (707) 546-1922
Fax: (707) 546-1897
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Hand Surgery Physician (primary) Taxonomy 207XS0106X · Licence A126421 (CA)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence A126421 (CA)

Record details

NPI number1114126869
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESOctober 4, 2013

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesHAND SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Santa Rosa Orthopaedic Medical Group, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Santa Rosa