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

Individual provider Physician Assistant · NPI 1629668546

Melanie Dominguez, PA-C is a Physician Assistant in Surprise, Arizona. Qualified in 2020, 6 years ago. Practices with Dawm, PLC, an 18-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13995 W Statler Blvd Ste 150
Surprise, AZ 85374-5512
Phone: (805) 560-4464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9239 (AZ)

Record details

NPI number1629668546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJanuary 11, 2025
Certification dateDecember 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Dawm, Plc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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