Leo Ernie Manangan Domingo, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95018365 Issued in CA

Practice address

5601 Atlantic Ave
Long Beach, CA 90805-4710

Phone

(562) 580-0910

NPI assigned

Aug 30, 2021

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advantage Neuropsychiatric Associates a P CGroup PAC ID 0547395048, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.67 of 100Reported as group

Quality

74.98

Improvement activities

40

Cost

51.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Advantage Neuropsychiatric Associates a P C

  • Psychiatry Physician
  • Orange, CA
  • NPI 1043455850
  Medicare reassignment Care Compare group NPD
• Central Neighborhood Health Foundation

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1639336803
  Medicare reassignment
• H Street Clinic

  • Primary Care Clinic/Center
  • San Bernardino, CA
  • NPI 1841437241
  Medicare reassignment
• Domingo Wellness Psychiatric Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1881518876
  Authorized official Same address or phone
• Comprehensive Psychiatric Solutions, P.C.

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1740758754
  NPD
• H Street Clinic

  dba Central Neighborhood Health Foundation Atlantic Clinic

  • Federally Qualified Health Center (FQHC)
  • Long Beach, CA
  • NPI 1518798040
  NPD
• H Street Clinic

  dba Central Neighborhood Health Foundation - Riverside

  • Federally Qualified Health Center (FQHC)
  • Riverside, CA
  • NPI 1447872577
  NPD (past)

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1073281754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 E 3RD ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014906",
            "telephone_number": "619-888-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054710",
            "telephone_number": "562-580-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "LEO ERNIE",
        "middle_name": "MANANGAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95018365",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "827301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Dolan, LCSW
• Mirou Pich Dom, MD
• Lawrence J Domaracki
• Silia Domat
• Essie Ayra C Domingo, NP
• Abigail Joy Dominguez
• Derek Dominguez, PHARM.D, RPH.
• Edgar Dominguez
• Jennifer Dominguez
• Laura Stefany Dominguez, MFT

• Psychiatric/Mental Health Nurse Practitioner in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.