Provider Demographics
NPI:1821883273
Name:MACHADO, DOMINIC ERIC (MD)
Entity type:Individual
Prefix:
First Name:DOMINIC
Middle Name:ERIC
Last Name:MACHADO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:DOMINIC
Other - Middle Name:ERIC
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9454 MAGNOLIA CT APT 2A
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11417-2974
Mailing Address - Country:US
Mailing Address - Phone:213-603-0731
Mailing Address - Fax:
Practice Address - Street 1:400 W PUEBLO ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4353
Practice Address - Country:US
Practice Address - Phone:805-569-7464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program