DOMINIQUE SANDERS (NPI# 1659785020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659785020 |
| Entity Type | Individual |
| Full Name | DOMINIQUE SANDERS |
| Credential | PMHNP, RN, MSN |
| Practice Address |
415 W Route 66 Ste 202 Glendora CA 91740-4335 |
| Practice Telephone | 6269634467 |
| Practice Fax Number | 6269639543 |
| Mailing Telephone | 6269634467 |
| Mailing Fax Number | 6269639543 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
828301 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95011218 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 N Sunrise Way, Palm Springs, CA 922625398 | 7607782236 |
| Street Address |
415 W ROUTE 66 STE 202 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740-4335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225040363 | Bruce A Lyons | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2006-08-13 |
| 1386250785 | Ahinasi Nurse Practitioner Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-09-21 |
| 1053935361 | Brighter Mind Psychiatric Group Inc | Psychiatry & Neurology | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-06-02 |
| 1689297798 | Karun Gogna Md Inc | Psychiatry & Neurology | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-05-22 |
| 1629616255 | Lorena Fuentes Np, Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-12-13 |
| 1558905158 | Sasinee J Bhosai Np Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-11-06 |
| 1316580665 | Dominique Sanders Nursing Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-10-18 |
| 1407402779 | Carmen N Garabet Psyd A Psychological Corporation | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-08-13 |
| 1316590391 | Carmen Noemi Garabet | Psychologist | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-07-19 |
| 1952964744 | Jeromy Asido Np Psychiatric Nursing Services Inc | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559638 | Kenny Tokuji Michioka | Nurse Practitioner | 1208 S Barranca Ave Unit C, Glendora, CA 91740 | 2020-05-07 |
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443136 | Artin Alexandrian | Nurse Practitioner | 510 S Grand Ave Ste 400, Glendora, CA 91741-4207 | 2018-07-05 |
| 1386250785 | Ahinasi Nurse Practitioner Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2020-09-21 |
| 1629616255 | Lorena Fuentes Np, Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-12-13 |
| 1558905158 | Sasinee J Bhosai Np Psychiatric Nursing Corp | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-11-06 |
| 1316580665 | Dominique Sanders Nursing Corporation | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-10-18 |
| 1952964744 | Jeromy Asido Np Psychiatric Nursing Services Inc | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2019-04-17 |
| 1598233629 | Jeromy Cruz Asido | Nurse Practitioner | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | 2018-11-07 |
| 1033691316 | Sasinee Jade Bhosai | Nurse Practitioner | 510 S Grand Ave, Glendora, CA 91741-4207 | 2018-09-03 |
| 1316391220 | Jennifer Grbavac Merica | Nurse Practitioner | 1160 S Grand Ave, Glendora, CA 91740 | 2016-04-17 |
| 1801197983 | Melissa Frost Rn A Professional Corporation | Nurse Practitioner | 415 W Carroll Ave, Suite 204, Glendora, CA 91741-4208 | 2010-11-05 |
| Find all providers in GLENDORA | ||||
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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.