Individual provider Active NPI

Ericka Domingo, L.V.N.

  • Licensed Vocational Nurse
  • Bakersfield, CA
National Provider Identifier
1013372721
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
269540 Issued in CA
Practice address
721 8TH St
Bakersfield, CA 93304-2224
Phone
(661) 326-9700
Fax
(661) 326-9709
NPI assigned
Dec 22, 2015
Last updated
Dec 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 269540 CA Primary

Addresses

Primary practice location

721 8TH St
Bakersfield, CA 93304-2224

Mailing address

721 8TH St
Bakersfield, CA 93304-2224
Phone (661) 326-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
269540CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1013372721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 8TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042224",
            "telephone_number": "661-326-9700",
            "fax_number": "661-326-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 8TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933042224",
            "telephone_number": "661-326-9700",
            "fax_number": "661-326-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "ERICKA",
        "credential": "L.V.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "269540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.