Active NPI
Dominique Zarith Harrison
- Community Health Worker
- Goleta, CA
National Provider Identifier
1437860525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2504 Refugio Rd
Goleta, CA 93117-9778 - Phone
- (805) 243-0199
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-207173 | CA | |
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2504 Refugio Rd
Goleta, CA 93117-9778
Mailing address
2504 Refugio Rd
Goleta, CA 93117-9778
Phone (805) 243-0199
Other practice location 1
6622 N Maroa Ave
Fresno, CA 93704-1209
Phone (559) 575-8172 ext. 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22-207173 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1437860525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 REFUGIO RD",
"city": "GOLETA",
"state": "CA",
"postal_code": "931179778",
"telephone_number": "805-243-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 REFUGIO RD",
"city": "GOLETA",
"state": "CA",
"postal_code": "931179778",
"telephone_number": "805-243-0199"
}
],
"practiceLocations": [
{
"address_1": "6622 N Maroa Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937041209",
"country_code": "US",
"telephone_number": "559-575-8172 x2",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRISON",
"first_name": "DOMINIQUE",
"middle_name": "ZARITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "22-207173",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.