Individual provider Active NPI

Dominique Cross, NP

  • Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1235700543
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016577 Issued in CA
Practice address
645 Aerick St Ste 2
Inglewood, CA 90301-4883
Phone
(424) 800-2046
Fax
(424) 800-2043
NPI assigned
Jul 7, 2021
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95016577 CA Primary
Registered Nurse 163W00000X 851900 CA

Addresses

Primary practice location

645 Aerick St Ste 2
Inglewood, CA 90301-4883

Mailing address

645 Aerick St Ste 2
Inglewood, CA 90301-4883
Phone (424) 800-2046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251112003420 CA Practitioner - Nurse Practitioner 0840781340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26500 Agoura Rd
Suite 102
Calabasas, CA 91302-3571

645 Aerick St
Suite 2
Inglewood, CA 90301-1976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
851900CAMDRegistered Nurse
95016577CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aericks Medical Clinic Inc CurrentSince Sep 13, 2025 Accepting new patients

Locations

645 Aerick St
Ste 2
Inglewood, CA 90301
Phone (310) 677-7108

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1235700543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 AERICK ST STE 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014883",
            "telephone_number": "424-800-2046",
            "fax_number": "424-800-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 AERICK ST STE 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014883",
            "telephone_number": "424-800-2046",
            "fax_number": "424-800-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "DOMINIQUE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016577",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "851900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.