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

Shirley Rose Ramiscal Domingo, MD

Individual provider Surgery Physician · NPI 1043331788

Shirley Rose Ramiscal Domingo, MD is a General Surgery in Modesto, California. Qualified in 2003, 23 years ago. Practices with Surgical Associates Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California, Hawaii and Michigan.

Years since qualifying
23
Licensed in
CA, HI, MI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1700 Coffee Rd
Modesto, CA 95355-2803
Phone: (209) 526-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A115602 (CA)
Surgery Physician Taxonomy 208600000X · Licence MDR-5205 (HI)
Surgery Physician Taxonomy 208600000X · Licence 4301082981 (MI)

Record details

NPI number1043331788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2007
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Surgical Associates Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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