Dominique Vidigal Santa Cruz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12310 Brandie Dr
Loma Rica, CA 95901-9594

Phone

(805) 208-3603

NPI assigned

Nov 3, 2025

Last updated

Nov 3, 2025By the provider in NPPES

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": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1255200762",
    "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": "12310 BRANDIE DR",
            "city": "LOMA RICA",
            "state": "CA",
            "postal_code": "959019594",
            "telephone_number": "805-208-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA CRUZ",
        "first_name": "DOMINIQUE",
        "middle_name": "VIDIGAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teal Marie Harvey, PHARM.D.
• Brandie Moses Leavell, RDHAP
• Sandra Marlene Lee, LPT

• Behavior Technician in Loma Rica, CA
• Providers in Loma Rica, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.