Beth A Domingue (NPI# 1649504465, PAC ID# 6608110523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1649504465 |
| PAC ID by PECOS | 6608110523 |
| Professional Enrollment ID | I20181204002656 |
| Full Name | Beth A Domingue |
| Organization Legal Name | EXODUS RECOVERY INC |
| Address |
2950 El Cajon Blvd Suite 4 San Diego CA 92104-1205 |
| Phone Number | 6195281752 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2668467341 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2950 El Cajon Blvd, Suite 4, San Diego, CA 92104-1205 | 6195281752 | EXODUS RECOVERY INC |
| 4308 30th St, San Diego, CA 92104-1314 | 3109453350 | EXODUS RECOVERY INC |
| Organization Legal Name | EXODUS RECOVERY INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawanda D Smith | Nurse Practitioner | Exodus Recovery Inc | 12021 S Wilmington Ave, Fl 2 Ic1 Ic7, Los Angeles, CA 90059-3019 |
| Joseph A Derije | Nurse Practitioner | Exodus Recovery Inc | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 |
| John Trieu | Nurse Practitioner | Exodus Recovery Inc | 3828 Hughes Ave, Culver City, CA 90232-2716 |
| Jazmin Jackson | Clinical Social Worker | Exodus Recovery Inc | 4308 30th St, San Diego, CA 92104-1314 |
| Hillary D Mahl | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Eva M Westholm | Clinical Social Worker | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Jovita C Ezirim-salamialofoje | Nurse Practitioner | Exodus Recovery Inc | 8401 S Vermont Ave, Los Angeles, CA 90044-3423 |
| Deborah R Ellis | Nurse Practitioner | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Nancy M Richmond | Nurse Practitioner | Exodus Recovery Inc | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-6824 |
| Angela N Romero | Clinical Social Worker | Exodus Recovery Inc | 524 W Vista Way, Vista, CA 92083-5704 |
| Street Address |
2950 EL CAJON BLVD SUITE 4 |
| City | SAN DIEGO |
| State | CA |
| Zip | 92104-1205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Catherine Maywood | Infectious Disease | 1940 El Cajon Blvd, Kindred Hosp San Diego, San Diego, CA 92104-1005 | |
| David C Willms | Pulmonary Disease | Samuel J Clark Md Inc | 1940 El Cajon Blvd, San Diego, CA 92104-1005 |
| Samuel J Clark | Pulmonary Disease | Samuel J Clark Md Inc | 1940 El Cajon Blvd, San Diego, CA 92104-1005 |
| Davies Y Wong | Pulmonary Disease | Samuel J Clark Md Inc | 1940 El Cajon Blvd, San Diego, CA 92104-1005 |
| Jazmin Jackson | Clinical Social Worker | Exodus Recovery Inc | 4308 30th St, San Diego, CA 92104-1314 |
| Miguel Losada | General Practice | 3250 El Cajon Blvd, San Diego, CA 92104-1409 | |
| Grant S Foster | Chiropractic | 4380 Felton St, San Diego, CA 92104-1421 | |
| Matthew P Goenne | Chiropractic | 4380 Felton St, San Diego, CA 92104-1421 | |
| Amanda J Foster | Chiropractic | 4380 Felton St, San Diego, CA 92104-1421 | |
| Harvey Charles Davis | Podiatry | 4115 Ohio St, San Diego, CA 92104-1911 | |
| Find all physicians in zip 92104 | |||
| City | SAN DIEGO |
| Zip Code | 92104 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | SAN DIEGO + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Beth A Domingue.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.