Desiree Jayne Domingo Leal, FNP-BC
Individual provider Active NPI Nurse Practitioner · Taft, CA
NPI 1154089068 · NPPES record last updated Nov 26, 2025
Key facts
- NPI
- 1154089068
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95020150 (CA)
- Practice address
- 501 6TH St
Taft, CA 93268-2704 - Phone
- (661) 763-5131
- Fax
- (661) 763-5137
- NPI assigned
- Dec 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220826000267 | CA | Practitioner - Nurse Practitioner | 3577947480 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95020150 | CA | MD | Nurse Practitioner |
| 2021104508 | CA | MD | Family Nurse Practitioner |
| F11210766 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Urgent Care Inc. | Current |
Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current |
Accepting new patients |
Locations
212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937
4040 California Ave
Bakersfield, CA 93309
Phone (661) 336-2050
212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060
4871 White Ln
Bakersfield, CA 93309
Phone (661) 832-1679
9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640
2400 K St
Bakersfield, CA 93301
Phone (661) 885-9909
2251 Mount Vernon Ave
Bakersfield, CA 93306
Phone (661) 624-0404
4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545
761 W Shaw Ave
Clovis, CA 93612
Phone (559) 549-3234
6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377
28110 Clinton Keith Rd
Murrieta, CA 92563
Phone (661) 885-6060
41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F11210766 | CA | |
| Family Nurse Practitioner | 363LF0000X | 2021104508 | CA | |
| Nurse Practitioner | 363L00000X | 95020150 | CA | Yes |
Addresses
Primary practice location
501 6TH St
Taft, CA 93268-2704
Mailing address
501 6TH St
Taft, CA 93268-2704
Phone (661) 763-5131
Other providers in Taft, CA
- Markie Caitlin Johnson
- Heather Keith
- Jeanette May Kennedy-Cecil
- Claire Kim
- Alexandra Paige Lainez
- Lifecare Homes Inc
- Magenta Lindsay
- Consepcion Llanes
- Raquel Lopez Ortiz
- Felize Marie Lopez
All providers in Taft, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.