Maria Dominguez Gomez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2499 E Gerard Ave SPC 43
Merced, CA 95341-5457

Phone

(209) 877-3829

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1073293270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CREEKSIDE RIDGE DR STE 280",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2499 E GERARD AVE SPC 43",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953415457",
            "telephone_number": "209-877-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ GOMEZ",
        "first_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dignity Health Medical Foundation
• Karen Kate Collo Dimaano, FNP-C
• Laura Rachelle Dinis
• Shirley Jean Dismuke
• Dennis E Dodd, PMHNP-BC
• Elis Dominguez
• Emma N Dominguez
• Esmerelda Dominguez
• Donald P Carter, MD
• David Patrick Donaldson

• Behavior Technician in Merced, CA
• Providers in Merced, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.