MRS. VANESSA DOMUSH


Address: 845 E. Willow St, Signal Hill, CA 90755
Phone: 2097659463

MRS. VANESSA DOMUSH (NPI# 1477922102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477922102
Entity Type Individual
Full Name MRS. VANESSA DOMUSH
Credential WHNP-BC
Practice Address 845 E. Willow St
Signal Hill
CA 90755
Practice Telephone 2097659463
Mailing Telephone 2097659463
Enumeration Date 2015-09-23
Last Update Date 2017-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
95003149 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 845 E. WILLOW ST
City SIGNAL HILL
State CA
Zip Code 90755

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790267136 Esther Guerrero De Shepphard Occupational Therapy Assistant 2726 E Wall Street, Signal Hill, CA 90755 2018-09-01
1285150565 Tricia Amantia Counselor 2248 Obisbo Ave, Suite 202, Signal Hill, CA 90755 2017-08-17
1558642637 Warren Kim Social Worker 845 East Willow Street, Signal Hill, CA 90755 2011-09-02
1730228354 Tsai, Hsiao & Loo Dental Corporation Dentist 1600 E. Hill St, Signal Hill, CA 90755 2007-02-06
1518039726 Ayman Aljabban Dental Corporation Dentist 1830 E Willow St, Signal Hill, CA 90755 2006-11-14
1164532768 Costco Wholesale Corporation Pharmacy 2200 E Willow St, Signal Hill, CA 90755 2006-08-30
1578510624 Long Beach Memorial Medical Center Home Health 695 E 27th St, Long Beach, CA 90755 2006-05-27
1073569554 Prosthetic & Orthotic Group, Inc Prosthetic/Orthotic Supplier 2669 Myrtle Ave, Ste 101, Signal Hill, CA 90755 2006-05-26
1619416898 Carrie Hoopfer Pharmacist 845 East Willow Street, Signal Hill, CA 90755 2017-02-21
1063954287 Sarah Shimanek Physical Therapist 2599 E 28th St Ste 206, Long Beach, CA 90755 2016-11-07
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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

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1518486125 Patty Montoya Nurse Practitioner 1026 Felder St, Gardena, CA 90248-3348 2017-09-14
1902357817 Alexandria Ludlow Nurse Practitioner 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 2016-10-17
1174999015 Kristina Hagopian Nurse Practitioner 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 2015-08-14
1639553076 Pacific Women's Healthcare Associates Nurse Practitioner 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 2015-07-15
1548655921 Trudi J Petersen Nurse Practitioner 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 2015-04-01
1932590775 Samah Shahzya Kureshi Nurse Practitioner 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 2015-02-16
1346645801 Norma Nix Nurse Practitioner 22423 Chase St, West Hills, CA 91304-3321 2014-10-27
1942602594 Jeanelle T Margosian Nurse Practitioner 6215 N Fresno St Ste 108, Fresno, CA 93710-5267 2014-09-25
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Competitor

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City SIGNAL HILL
Zip Code 90755

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Dataset Information

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.

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