Susana Dominguez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3333 E American Ave
Fresno, CA 93725-9247

Phone

(559) 600-4878

Fax

(559) 600-7645

NPI assigned

Aug 19, 2015

Sex

Female

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)

Not enrolled

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1477929875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1778",
            "address_2": "16700 5TH ST",
            "city": "HURON",
            "state": "CA",
            "postal_code": "932341778",
            "telephone_number": "559-904-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E AMERICAN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259247",
            "telephone_number": "559-600-4878",
            "fax_number": "559-600-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "SUSANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dominguez
• Lorena Soledad Dominguez, MS, AMFT
• Norma Patino Dominguez, ASW
• Rene Dominguez
• Ronald Eric Dominguez, M.D.
• Veronica Maria Dominguez
• Dominic Dizon, Medical Corporation
• Susan Dominic, M.D.
• William Dominic, MD
• June M Domino

• Case Manager/Care Coordinator in Fresno, CA
• Providers in Fresno, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.