Individual provider · Type 1 NPI

Samuel Domingo, MSN, FNP

Family Nurse Practitioner · Newport Beach, CA

NPI number 1063254910 Active

Practice location

1 Hoag Dr
Newport Beach, CA 92663-4162

Call (949) 764-5691 Map

Fax (949) 764-4242

Mailing address

2119 Pendio
Irvine, CA 92620-1760

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	95029993 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1063254910

Samuel Domingo, MSN, FNP's National Provider Identifier is 1063254910, issued on Jun 11, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Newport Beach, CA. The record was last updated on Sep 7, 2026.