MS. EVELYN DOMINGUEZ (NPI# 1033645312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033645312 |
| Entity Type | Individual |
| Full Name | MS. EVELYN DOMINGUEZ |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1655 S Western Ave Los Angeles CA 90006-5801 |
| Practice Telephone | 3237375200 |
| Practice Fax Number | 3237375400 |
| Mailing Telephone | 3237375200 |
| Mailing Fax Number | 3237375400 |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2019-06-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 95006362 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
95006362 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
95006362 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290395 | Evelyn Dominguez | Behavior Technician | 6475 Sierra Ln, Dublin, CA 94568-2796 | 2020-09-18 |
| 1457631731 | Evelyn D Dominguez | Community Health Worker | 133 N Sunol Dr, Los Angeles, CA 90063 | 2011-08-18 |
| 1568444966 | Evelyn Dominguez | Specialist/Technologist, Other | 440 State Rd #7, Ste E, Royal Palm Beach, FL 33411 | 2005-11-19 |
| Street Address |
1655 S WESTERN AVE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90006-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033393962 | Harold Cardinalvalery M.d. Inc. | Family Medicine | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2007-12-27 |
| 1013546878 | Era Mae Chua Gibbons | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2020-04-03 |
| 1013554716 | Julie Miller | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2019-12-02 |
| 1669945838 | Leah Ghadimi | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2019-01-09 |
| 1356826994 | Nancy Jeanette Mccoy | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2018-09-29 |
| 1548708720 | Joanne Fascio | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2017-02-07 |
| 1285945576 | Jethro John V Esguerra | Nurse Practitioner | 1655 S Western Ave, Los Angeles, CA 90006-5801 | 2010-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114583549 | Ruahrena Corporation | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3053 West Olympic Boulevard, Suite 301, Los Angeles, CA 90006 | 2019-05-10 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1053895565 | Lili Mirtorabi D.d.s A Professional Corporation | Dentist | 2368 Pico Boulevard, Los Angeles, CA 90006 | 2018-09-20 |
| 1083192116 | Sanghee Hong | Nurse Practitioner | 2655 W Olympic Blvd Ste 101, Los Angeles, CA 90006 | 2018-07-31 |
| 1134638919 | Joon Hyung Kim | Chiropractor | 3130 W. Olympic Blvd., Suite 350, Los Angeles, CA 90006 | 2017-09-25 |
| 1578082988 | Judy Lee | Behavior Technician | 900 South Serrano Ave #401, Los Angeles, CA 90006 | 2017-09-18 |
| 1689126773 | Seungah Madison Lee | Acupuncturist | 3053 W. Olympic Blvd, #311, Los Angeles, CA 90006 | 2016-10-25 |
| 1790149789 | Kihyun Kim | Acupuncturist | 975 S. Vermont Ave, #201, Los Angeles, CA 90006 | 2016-04-06 |
| 1407215486 | Young Zoo Kim | Acupuncturist | 1001 S. Vermont Ave, #207, L.a., CA 90006 | 2016-02-18 |
| 1376916817 | Global Eastern Medicine Group | Acupuncturist | 1010 S. Fedora St. #101, Los Angeles, CA 90006 | 2015-11-05 |
| Find all providers in zip 90006 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436433 | Violet C Mayers | Nurse Practitioner | 5707 10th Ave, Los Angeles, CA 90043-2527 | 2019-09-15 |
| 1477109957 | Rosie Vasquez | Nurse Practitioner | 241 N Figueroa St Ste 306-d, Los Angeles, CA 90012-2601 | 2019-08-12 |
| 1669946554 | Jean E Hensley | Nurse Practitioner | 4154 Charlene Dr, Los Angeles, CA 90043-1553 | 2019-01-14 |
| 1396218236 | Melissa Kaye Tauer | Nurse Practitioner | 5901 W Olympic Blvd Ste 200, Los Angeles, CA 90036-4663 | 2019-01-03 |
| 1497299697 | Hau Cheng Yau | Nurse Practitioner | 1520 San Pablo St Fl 1, Los Angeles, CA 90033 | 2016-12-07 |
| 1417005695 | Lorna M Johnson | Nurse Practitioner | 1201 E Florence Ave, Los Angeles, CA 90001-2432 | 2007-01-06 |
| 1255381901 | Lisa Li Hsieh | Nurse Practitioner | 819 W Cesar E Chavez Ave, Los Angeles, CA 90012-2130 | 2006-05-12 |
| 1265041347 | Ogochukwu Ike | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-07-24 |
| 1881202190 | Rumi Sato | Nurse Practitioner | 441 Bauchet St, Los Angeles, CA 90012-2906 | 2020-07-22 |
| 1609496223 | M Jessica Graves | Nurse Practitioner | 450 Bauchet St, Los Angeles, CA 90012-2907 | 2020-04-23 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90006 |
Please comment or provide details below to improve the information on MS. EVELYN DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.