Joel Dominguez, M.A., MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC52052 Issued in CA

Practice address

4050 Katella Ave
Suite 102
Los Alamitos, CA 90720-3434

Phone

(562) 260-9058

NPI assigned

Aug 23, 2012

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Baldwin Park, CA
  • NPI 1770515280
  Medicare reassignment NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Los Angeles, CA
  • NPI 1134151657
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1487902433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 CRESCENT HEIGHTS ST",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553602",
            "telephone_number": "562-260-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 KATELLA AVE",
            "address_2": "SUITE 102",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203434",
            "telephone_number": "562-260-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JOEL",
        "credential": "M.A., MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC52052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Rae Doane-Parker
• Judy Dodgen, LMFT
• Lauren Marie Dolan, PA-C
• Helen Georgia Dolas, M.S., MT-BC
• Arlene M Dolorico, MD
• Donald N Serafano MD Inc
• Brandi Donaldson, LMFT, LPCC
• Double Black Business Ventures LLC
• Isabelle Dougherty, PPS
• James Walsh Doyle, CADC-II T

• Marriage & Family Therapist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.