Doctor profile · Federal record
Dr. Dominador Mansat, FNP-C
Family Nurse Practitioner (CMS: Nurse Practitioner) · Ontario, CA
- NPI 1700500600
- Accepts Medicare
- MIPS 7.3 / 100 · 2023
- 4 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1910 S Archibald Ave Ste D
Ontario, CA 917618503
(909) 348-2556
fax (877) 615-1555 - Mailing address
-
9415 Retreat Pl
Rancho Cucamonga, CA 917309200
Credentials & registration
- NPI registered
- October 2022 — 4 yrs on file
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- California #95022872
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1700500600. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
10,209
Distinct HCPCS
4
Medicare allowed
$1,123,074
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99349 |
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 10,075 | 455 | $110 | |
99344 |
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 76 | 76 | $124 | |
0124A |
Adm sarscv2 bvl 30mcg/.3ml a | 29 | 29 | $36 | |
M0201 |
Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home | 29 | 29 | $32 |
In context: peer comparison
Among 7 peers in this city , average services per provider: 524. This provider delivers 19× the peer median.Frequently asked questions
What is Dr. Dominador Mansat's medical specialty?
Dr. Dominador Mansat practices Family Nurse Practitioner in Ontario, CA.
Where does Dr. Dominador Mansat practice?
Dr. Dominador Mansat practices at 1910 S Archibald Ave Ste D, Ontario, CA 917618503. Office phone: 9093482556.
What is Dr. Dominador Mansat's NPI?
Dr. Dominador Mansat's National Provider Identifier (NPI) is 1700500600, issued by NPPES.
Does Dr. Dominador Mansat accept Medicare assignment?
Yes. Dr. Dominador Mansat accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dominador Mansat commonly perform?
Top Medicare-reported procedures in 2023: Residence visit for established patient with moderate level of medical decision making (HCPCS 99349); Residence visit for new patient with moderate level of medical decision making (HCPCS 99344); Adm sarscv2 bvl 30mcg/.3ml a (HCPCS 0124A). Source: CMS Medicare Physician & Other Practitioners file.