Individual provider Active NPI

Iluminada Peralta Domingo, CNA

  • Attendant Care Provider
  • Waipahu, HI
National Provider Identifier
1235613803
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
1-100073 Issued in HI
Practice address
94-1177 Hoomakoa St
Waipahu, HI 96797-3723
Phone
(808) 676-5188
Fax
(808) 676-5188
NPI assigned
Sep 19, 2018
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 1-100073 HI Primary

Addresses

Primary practice location

94-1177 Hoomakoa St
Waipahu, HI 96797-3723

Mailing address

94-1177 Hoomakoa St
Waipahu, HI 96797-3723
Phone (808) 676-5188

Other practice location 1

94-1177 Hoomakoa St
Waipahu, HI 96797-3723
Phone (808) 676-5188

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
1-100073HIMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1235613803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1177 HOOMAKOA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973723",
            "telephone_number": "808-676-5188",
            "fax_number": "808-676-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1177 HOOMAKOA ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973723",
            "telephone_number": "808-676-5188",
            "fax_number": "808-676-5188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1177 Hoomakoa St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973723",
            "country_code": "US",
            "telephone_number": "808-676-5188",
            "fax_number": "808-676-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "ILUMINADA",
        "middle_name": "PERALTA",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "HI",
            "license": "1-100073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.