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

Guerda Dominique, PA

Individual provider Physician Assistant · NPI 1124031174

Guerda Dominique, PA is a Physician Assistant in Brighton, Massachusetts. Qualified in 2016, 10 years ago. Practices with Mary Washington Healthcare Physicians, a 287-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in District of Columbia, Massachusetts, Maryland and Virginia.

Years since qualifying
10
Licensed in
DC, MA, MD, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

11 Nevins St Ste 306
Brighton, MA 02135-3514
Phone: (617) 414-4505
Show map & directions

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

Additional practice locations (3)

  • 900 23rd St Nw, Washington, DC 20037-2342 — (202) 715-4000
  • 736 Cambridge St, Boston, MA 02135-2907 — (617) 789-3000
  • 2434 W Belvedere Ave, Baltimore, MD 21215-5202 — (410) 601-2246

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA8505 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 0110001307 (VA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA200001547 (DC)
Physician Assistant Taxonomy 363A00000X · Licence C01930 (MD)

Record details

NPI number1124031174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mary Washington Healthcare Physicians — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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