MARIO JOSE DOMINGUEZ (NPI# 1912191495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912191495 |
| Entity Type | Individual |
| Full Name | MARIO JOSE DOMINGUEZ |
| Credential | DC |
| Practice Address |
2900 Bristol St Bldg C, Suite 101 Costa Mesa CA 92626-5981 |
| Practice Telephone | 7145400555 |
| Practice Fax Number | 7145400455 |
| Mailing Telephone | 7145400555 |
| Mailing Fax Number | 7145400455 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NX0100X |
Chiropractor Specialization: Occupational Health |
DC17103 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059923 | Mario Dominguez | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-02-13 |
| 1609807874 | Mario L Dominguez | Family Medicine | 1690 Main St, Suite 4, South Weymouth, MA 02190-1279 | 2006-07-06 |
| Street Address |
2900 BRISTOL ST BLDG C, SUITE 101 |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-5981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991498 | Burdetta Louise Honescko | Counselor | 2900 Bristol St, J101, Costa Mesa, CA 92626-5981 | 2006-06-16 |
| 1184244121 | James Marquez | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2020-04-20 |
| 1659841609 | Steve G Baker | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-12-03 |
| 1710452784 | We Care Path | Counselor | 2900 Bristol St, Costa Mesa, CA 92626-5981 | 2018-10-05 |
| 1821522053 | Manabu Kuzu | Acupuncturist | 2900 Bristol St, G103, Costa Mesa, CA 92626-5981 | 2017-04-14 |
| 1366982878 | Stephen Stylianides | Chiropractor | 2900 Bristol St, Suite J104, Costa Mesa, CA 92626-5981 | 2017-03-02 |
| 1063964476 | Carol J Timmons | Clinic/Center | 2900 Bristol St, Bldg. J-206, Costa Mesa, CA 92626-5981 | 2016-11-02 |
| 1821449109 | Paige Meyer | Chiropractor | 2900 Bristol St, J108, Costa Mesa, CA 92626-5981 | 2016-06-28 |
| 1558712448 | The Body Lab Physical Therapy Inc. | Physical Therapist | 2900 Bristol St, J104, Costa Mesa, CA 92626-5981 | 2016-06-22 |
| 1518321439 | Lisa Ann Maurel | Marriage & Family Therapist | 2900 Bristol St, Suite C 208, Costa Mesa, CA 92626-5981 | 2016-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 111NX0100X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Occupational Health |
| Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It also considers and assists clients with State and Federal Compliance assistance. Occupational Health goes much farther than simply treating injured workers however. This may mean working with clients to promote optimum safety and ergonomic principles, interacting with the injured worker to promote safety and prevent future injuries, assisting a company with accident investigation to identify root cause, redesigning a workstation to eliminate hazards, working with safety teams, providing training programs etc. The list of potential services that the specialist can interact with a client company or patient is lengthy and varied involving both in office services as well as on site services. |
| Notes: Source: American Chiropractic Association, 2008 [7/1/2009: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497077994 | Gregory Scott Simonian | Chiropractor | 446 Swarthmore Ln, Costa Mesa, CA 92626-6130 | 2010-02-24 |
| 1407011463 | Center for Better Health A Medical Group, Inc. | Chiropractor | 1520 Nutmeg Pl, Suite 110, Costa Mesa, CA 92626-2501 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124630967 | Injured Workers Medical Group, Inc. | Chiropractor | 4600 Campus Dr Ste 108, Newport Beach, CA 92660-1885 | 2020-08-22 |
| 1770063117 | Awender Chiropractic Inc | Chiropractor | 2342 El Camino Real Ste 100, Redwood City, CA 94063-2874 | 2018-08-15 |
| 1427543248 | Stellar Family and Occupational Medical Group | Chiropractor | 18031 Us Highway 18 Ste A, Apple Valley, CA 92307-2152 | 2018-06-25 |
| 1821511494 | Paul Lauer | Chiropractor | 2693 Dorado Ct, Thousand Oaks, CA 91362-4916 | 2017-07-25 |
| 1467851071 | Malintze Gutierrez, Inc. | Chiropractor | 5339 N Fresno St Ste 105, Fresno, CA 93710-6851 | 2014-08-19 |
| 1043635865 | Alan Ebling | Chiropractor | 616 Venice Blvd, Suite B, Venice, CA 90291-4801 | 2014-03-03 |
| 1104264563 | Victoria Baron Rn A Registered Nursing Corporation | Chiropractor | 2403 Rockefeller Ln, Unit B, Redondo Beach, CA 90278-3806 | 2013-06-07 |
| 1962758250 | Eileen Marie Cremata | Chiropractor | 50 Camelot Ct, Alamo, CA 94507-1747 | 2012-07-24 |
| 1598024606 | Lifeteam Health | Chiropractor | 306 Andrews St, Los Gatos, CA 95030-5301 | 2012-05-09 |
| 1982972196 | Donald Cameron Holmes Jr. | Chiropractor | 501 W Sierra Ave, # 239, Fresno, CA 93704-1137 | 2011-12-02 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.