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

Guadalupe R Dominguez, PAC

Individual provider Physician Assistant · NPI 1649268913

Guadalupe R Dominguez, PAC is a Physician Assistant in North las Vegas, Nevada. Qualified in 2002, 24 years ago. Practices with Vishal Gandotra MD Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
24
Licensed in
NV
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1905 Civic Center Dr
North las Vegas, NV 89030-7143
Phone: (702) 877-9514
Fax: (702) 312-3510
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA849 (NV)

Record details

NPI number1649268913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESNovember 18, 2020
Certification dateNovember 18, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Vishal Gandotra Md Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in North las Vegas