DOMINIQUE ANTOINETTE MARTIN (NPI# 1710541610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710541610 |
| Entity Type | Individual |
| Full Name | DOMINIQUE ANTOINETTE MARTIN |
| Credential | RN |
| Practice Address |
1542 W 125th St Los Angeles CA 90047-5329 |
| Practice Telephone | 4242309000 |
| Practice Fax Number | 4243897097 |
| Mailing Telephone | 4242309000 |
| Mailing Fax Number | 4243897097 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
779452 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043673015 | Dominique M Martin | Marriage & Family Therapist | 399 E Main St, Columbus, OH 43215-5384 | 2016-03-29 |
| Street Address |
1542 W 125TH ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90047-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071652 | Cherae Nikia Stovall | Counselor | 1704 Manchester Boulevard, Suite 202, Los Angeles, CA 90047 | 2019-06-07 |
| 1598264053 | Dignity Health | Community/Behavioral Health | 1852 W Imperial Hwy, Los Angeles, CA 90047 | 2018-02-09 |
| 1750805222 | Brian George Martinez | Counselor | 1448 W 83rd St, Los Angeles, CA 90047 | 2017-07-27 |
| 1295266609 | Maria Amezcua | Rehabilitation Practitioner | 108 W Victoria Street, Gardena, CA 90047 | 2017-03-27 |
| 1265861140 | Ameika Porter | Counselor | 1529 West 82nd Street, Los Angeles, CA 90047 | 2013-11-01 |
| 1053747519 | Maria D Macias | Counselor | 11601 S. Western Avenue, Los Angeles, CA 90047 | 2013-09-16 |
| 1366704132 | Evelyn Carolina Hernandez | Family Medicine | 1555 West 110th Street, Los Angeles, CA 90047 | 2012-06-08 |
| 1003057142 | Sandra Patricia Trim | Licensed Vocational Nurse | 2048 W 69 St, Los Angeles, CA 90047 | 2009-03-19 |
| 1194962001 | Estuardo Ardon | Counselor | 11603 S. Western Ave., Los Angeles, CA 90047 | 2009-01-14 |
| 1174788400 | Frenda Brigette Williams | Dentist | 2015 W 81st St, Los Angeles, CA 90047 | 2008-07-25 |
| Find all providers in zip 90047 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912493016 | Lizzeth Romero | Registered Nurse | 12012 Compton Ave Fl 4, Los Angeles, CA 90059-2957 | 2018-07-02 |
| 1821585571 | Michelle Violet Starling | Registered Nurse | 12012 Compton Ave, Los Angeles, CA 90059-2957 | 2018-04-18 |
| 1588180954 | Dalila Elvira Ruiz | Registered Nurse | 1701 Cesar Chavez Avenue, Los Angeles, CA 90033 | 2017-08-17 |
| 1497279806 | Vernetta O Jackson | Registered Nurse | 4121 W 62nd St, Los Angeles, CA 90043-3612 | 2017-07-27 |
| 1730582248 | Monica Flores | Registered Nurse | 600 South Commonwealth Avenue, Los Angeles, CA 90006 | 2014-09-29 |
| 1710257803 | Jessica Nayelli Oregel | Registered Nurse | 701 W Cesar Chavez Ave Ste 201, Los Angeles, CA 90012-2185 | 2012-01-05 |
| 1386921724 | Valerie A Lacy | Registered Nurse | 600 S Commonwealth Ave Fl 8, Los Angeles, CA 90005-4001 | 2011-11-14 |
| 1265610026 | Evelyn Espinoza | Registered Nurse | 600 S Commonwealth Ave Ste 800, Los Angeles, CA 90005-4018 | 2008-02-04 |
| 1497355366 | Adrienne Elaine Bawa | Registered Nurse | 200 Medical Plaza, Los Angeles, CA 90095-0001 | 2020-10-29 |
| 1104425867 | Bonnie Ruth Santillo | Registered Nurse | 701 W Cesar E Chavez Ave, Los Angeles, CA 90012-2104 | 2020-10-22 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90047 |
Please comment or provide details below to improve the information on DOMINIQUE ANTOINETTE MARTIN.
| 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.