JESSICA DOMINGUEZ (NPI# 1063042802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063042802 |
| Entity Type | Individual |
| Full Name | JESSICA DOMINGUEZ |
| Practice Address |
12171 World Trade Dr San Diego CA 92128-3709 |
| Mailing Address |
24375 Jackson Ave Apt S206 Murrieta CA 92562-1972 |
| Practice Telephone | 6192699909 |
| Mailing Telephone | 6262771859 |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 81724 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649973 | Jessica Dominguez | Nurse Practitioner | 300 N Commercial St Ste 200, Neenah, WI 54956-2619 | 2020-08-14 |
| 1154853463 | Jessica Dominguez | Specialist/Technologist | 636 Sitka Dr, Walnut Creek, CA 94598-1738 | 2017-03-28 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1649886292 | Jessica Elizabeth Dominguez | Physician Assistant | 800 Medical Center Dr, Decatur, TX 76234-3843 | 2020-09-18 |
| 1720588247 | Jessica Paola Dominguez | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2018-02-21 |
| 1275988396 | Jessica Dominguez | Internal Medicine | 6431 Fannin St, Suite Msb 1.134, Houston, TX 77030-1501 | 2016-04-26 |
| 1083047948 | Jessica Dominguez | Student in an Organized Health Care Education/Training Program | 1980 Allston Way, Berkeley, CA 94704-1463 | 2013-08-14 |
| 1326323213 | Jessica Dominguez | Pharmacist | 1993 Errecart Blvd, Elko, NV 89801-8334 | 2011-10-11 |
| 1407176209 | Jessica Catherine Dominguez | Social Worker | 11 Route 111, Smithtown, NY 11787-3712 | 2010-06-03 |
| 1700038064 | Jessica Suheit Dominguez | Counselor | 490 Chadbourne Rd, Ste A, Fairfield, CA 94534-9613 | 2008-10-17 |
| Street Address |
12171 WORLD TRADE DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92128-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235161050 | Karen Ellen Guerin | Physical Therapist | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2006-07-06 |
| 1952835472 | Fit Athletic Cmr LLC | General Practice | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2017-04-12 |
| 1295080307 | Nelly Shaw-mcminn | Physical Therapist | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2012-07-16 |
| 1144413881 | Michelle Denise Campillo-peters | Physical Therapy Assistant | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2007-08-27 |
| 1568487296 | Beth Ann Scalone | Physical Therapist | 12171 World Trade Dr, San Diego, CA 92128-3709 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585371 | Alicia Ford | Behavior Technician | 1170 Bernardo Plaza Court, Suite 350, San Diego, CA 92128 | 2020-07-08 |
| 1164087573 | Madeleine White | Dietitian, Registered | 16685 W Bernardo Dr, Suite 121, San Diego, CA 92128 | 2019-05-01 |
| 1053807677 | Joele Ghosn | Speech-Language Pathologist | 11838 Bernardo Plaza Ct #110, San Diego, CA 92128 | 2018-07-06 |
| 1376034348 | Eddie Reginald Burston II | In Home Supportive Care | 12727 Camino Emparrado, San Diego, CA 92128 | 2018-05-24 |
| 1336659218 | Ryan Fong | Physician Assistant | 15004 Innovation Drive (s97), San Diego, CA 92128 | 2017-10-05 |
| 1508316191 | Araceli Flores | Behavioral Analyst | 15737 Innovation Dr, Suite 200, San Diego, CA 92128 | 2016-10-07 |
| 1003283961 | Katherine Dishner | Hearing Instrument Specialist | 16766 Bernardo Center Dr Ste 206, San Diego, CA 92128 | 2015-08-27 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1346623634 | Angela Christine Storck-petersen | Dietitian, Registered | 11768 Caminito Corriente, San Diego, CA 92128 | 2015-07-04 |
| 1134526874 | Breeana Rose Lancaster | Speech-Language Pathologist | 11838 Bernardo Plaza Ct. Suite 110, Kids Therapy Associates, San Diego, CA 92128 | 2014-11-24 |
| Find all providers in zip 92128 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1013517457 | Raman Khoshabeh | Massage Therapist | 12650 Sabre Springs Pkwy Ste 201, San Diego, CA 92128-4114 | 2020-10-26 |
| 1558969410 | Antonio Kinsey | Massage Therapist | 4070 Rosenda Ct Unit 217, San Diego, CA 92122-1954 | 2020-10-13 |
| 1689271298 | Ma. Luisa Garcia De Camacho | Massage Therapist | 1450 Market St Apt 449, San Diego, CA 92101-4160 | 2020-10-06 |
| 1427655034 | Svetlana Diakova | Massage Therapist | 3030 Suncrest Dr Unit 604, San Diego, CA 92116-1542 | 2020-10-06 |
| 1093312076 | Marilucia C Tolentino | Massage Therapist | 3141 Macaulay St, San Diego, CA 92106-1911 | 2020-10-02 |
| 1972110740 | Jessica Brooke Tavison | Massage Therapist | 3811 Marquette Pl Apt 4x, San Diego, CA 92106-1073 | 2020-09-25 |
| 1346856077 | Joshua Macias | Massage Therapist | 1441 9th Ave Unit 209, San Diego, CA 92101-8939 | 2020-09-18 |
| 1700492659 | Florence Yuko Casiez | Massage Therapist | 5898 Grewia St, San Diego, CA 92114-6620 | 2020-09-16 |
| 1932715968 | Tania Alvarez | Massage Therapist | 3972 Mississippi St, San Diego, CA 92104-2737 | 2020-09-15 |
| Find all providers in SAN DIEGO | ||||
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| 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.