Ascela Regala Dominguez, DISPENSING OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

34998 Issued in CA

Practice address

115 Breezewalk Dr
Vallejo, CA 94591-7143

Phone

(707) 557-5481

Fax

(707) 648-3990

NPI assigned

May 10, 2007

Last updated

Jul 8, 2007By 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447465927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BREEZEWALK DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917143",
            "telephone_number": "707-557-5481",
            "fax_number": "707-648-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BREEZEWALK DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917143",
            "telephone_number": "707-557-5481",
            "fax_number": "707-648-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ASCELA",
        "middle_name": "REGALA",
        "name_prefix": "Mrs.",
        "credential": "DISPENSING OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "34998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karintha Dixon
• Christina Dizon, RN
• Ryan Pham Doan, M.D.
• Daniel Doi
• Ryan Charles Dollbaum, M.D.
• Ma.Angela Perez Dominguez
• Mariah Lupe Dominguez
• Mark Kenneth Domke, RKT
• Jillian April Napeek Domogan
• Laurena Nelly Dongmo Fotsing

• Optician in Vallejo, CA
• Providers in Vallejo, CA by specialty
• Optician 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.