Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dominic Omar Ansari, MD, PHD

Individual provider Pediatrics Physician · NPI 1366737942

Dr. Dominic Omar Ansari, MD, PHD is a Pediatrics Physician in Crescent City, California. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone: (707) 464-8511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1800 Maple Rd Ste 100, Williamsville, NY 14221-2749 — (716) 636-5437

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 285015 (NY)

Record details

NPI number1366737942
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedJune 13, 2011
Last updated in NPPESMay 29, 2019

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