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

Mr. David Arturo Dominguez, PA-C

Individual provider Physician Assistant · NPI 1740870211

Mr. David Arturo Dominguez, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Cherry Street Services Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
6
Licensed in
AZ, MI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone: (616) 965-8200
Fax: (616) 940-5337
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 5601012911 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 9244 (AZ)

Record details

NPI number1740870211
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2021
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

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 Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids