Brian Lee Domitrovich, SUDCC II

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

13534 Issued in CA

Practice address

280 17TH St
Oakland, CA 94612-4124

Phone

(510) 238-5020

NPI assigned

Jul 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raquel Amber Santiago Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1467060798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6649 FOOTHILL BLVD UNIT 2",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052018",
            "telephone_number": "415-318-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 17TH ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946124124",
            "telephone_number": "510-238-5020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2577 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946121159",
            "country_code": "US",
            "telephone_number": "510-466-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMITROVICH",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "SUDCC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "CA",
            "license": "13534",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAQUEL",
            "last_name": "SANTIAGO",
            "middle_name": "AMBER",
            "credential": "SUD COUNSELOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jailene Kathy Dominguez
• Jessica Dominguez, MFT
• Joann Callorina Dominguez, MD
• Kenia E Dominguez
• Sheila Vattathil Dominic, F.N.P.
• Matt Domnick
• Yuriko Domyo
• Jean Donabedian
• Donald R. Townsend, M.D. a Medical Corporation, Inc.
• Taronda Donaldson-Ellison, AMFT

• Day Training/Habilitation Specialist in Oakland, CA
• Providers in Oakland, CA by specialty
• Day Training/Habilitation Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.