Lawrence J Domaracki

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 20570 Issued in CA

Practice address

3311 E Willow Street
Long Beach, CA 90806

Phone

(562) 424-4976

Fax

(562) 424-5960

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Willow Medical Group

  • Chiropractor
  • Long Beach, CA
  • NPI 1013943000
  Authorized official Same address or phone
• Willow Medical Group

  • Chiropractor
  • Long Beach, CA
  • NPI 1205050119
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407882335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 E WILLOW ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062310",
            "telephone_number": "562-424-4976",
            "fax_number": "562-424-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 E WILLOW STREET",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90806",
            "telephone_number": "562-424-4976",
            "fax_number": "562-424-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMARACKI",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 20570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Lagasca Dojillo, NP
• Andrei N Dokukin, MD
• Geoffrey S Dolan, MD
• Riley Dolan, LCSW
• Mirou Pich Dom, MD
• Silia Domat
• Essie Ayra C Domingo, NP
• Leo Ernie Manangan Domingo, NP
• Abigail Joy Dominguez
• Derek Dominguez, PHARM.D, RPH.

• Chiropractor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.