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

Katherine Michelle Domenici

Individual provider Pediatrics Physician · NPI 1487233060

Katherine Michelle Domenici is a Pediatrics Physician in Loma Linda, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

11234 Anderson St
Loma Linda, CA 92354-2804
Phone: (909) 558-4174
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A184269 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A184269 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487233060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESMarch 19, 2025
Certification dateMarch 19, 2025

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