DANIELLE DOMASKA (NPI# 1063952091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063952091 |
| Entity Type | Individual |
| Full Name | DANIELLE DOMASKA |
| Practice Address |
1341 N Escondido Blvd Escondido CA 92026-2507 |
| Practice Telephone | 7603179121 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Street Address |
1341 N ESCONDIDO BLVD |
| City | ESCONDIDO |
| State | CA |
| Zip Code | 92026-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427190339 | Edina Dawn Martinez | Psychologist | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2007-02-14 |
| 1639778558 | Frederica Rachelle Garcia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-10-21 |
| 1669086146 | Vasti Jael Galicia | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-09-02 |
| 1306459706 | Karla Jhovana Gutierrez | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-25 |
| 1326658642 | Shaza Hummel | Nurse Practitioner | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-08-01 |
| 1831708130 | Gabriela Arroyo Slutsky | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-23 |
| 1801414248 | Kerry Ireland Song | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-13 |
| 1225656812 | Victoria Luisa Moreno | Nurse's Aide | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-09 |
| 1174141246 | Mary Brumbeloe | Registered Nurse | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-07-06 |
| 1396369203 | Cynthia Elizabeth Blount | Counselor | 1341 N Escondido Blvd, Escondido, CA 92026-2507 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477908663 | Nancy Martinez-molano | Counselor | 1029 N. Broadway Avenue, Escondido, CA 92026 | 2016-04-26 |
| 1114322765 | Christina Boekamp | Speech-Language Pathologist | 1325 Las Villas Way, Escondido, CA 92026 | 2014-10-24 |
| 1609170356 | Pectus Services of Southern California LLC | Durable Medical Equipment & Medical Supplies | 317 N. Elcamino Real, Suite 502, Encinitas, CA 92026 | 2011-01-10 |
| 1518277987 | Maryam Delsen | Social Worker | 1029 N. Broadway Ave., Escondido, CA 92026 | 2010-10-19 |
| 1528372554 | Shirley Dianne Kunkel | Speech-Language Pathologist | 9649 Galatea Lane, Escondido, CA 92026 | 2010-08-02 |
| 1124295266 | Kendell Hales Ricks | Dentist | 8895 Lawrence Welk Dr, Escondido, CA 92026 | 2008-05-08 |
| 1861517005 | Mountain Shadows Support Group, Inc | Nursing Facility/Intermediate Care Facility | 4840 Fairhill Place, Riverside, CA 92026 | 2007-03-20 |
| 1982731253 | Cynthia Louise Canney | Marriage & Family Therapist | 502 W. El Norte Parkway, Excondido, CA 92026 | 2007-02-27 |
| 1992891790 | Vijaya Kv Prabhu | Dentist | El Norte Family Dental., 306 W.el Norte Pkwy. Suite D & E, Escondido, CA 92026 | 2006-10-05 |
| 1104291418 | Escondido Healing Center | Acupuncturist | 11130 Arco Dr, Escondido, CA 92026 | 2015-12-11 |
| Find all providers in zip 92026 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
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| 1780282988 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 2891 I Street Ext, Petaluma, CA 94952-9521 | 2020-10-12 |
| 1720692577 | Muir Wood, LLC. | Substance Abuse Rehabilitation Facility | 1743 Skillman Lane, Petaluma, CA 94952-9495 | 2020-08-31 |
| 1598376816 | Muir Wood LLC | Substance Abuse Rehabilitation Facility | 6868 Cold Springs Rd, Penngrove, CA 94951-9722 | 2020-08-11 |
| 1770194060 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 195 S Peralta Hills Dr, Anaheim, CA 92807-3424 | 2020-08-11 |
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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.