Jessica Dominguez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4000 Birch St Ste 112
Newport Beach, CA 92660-2255

Phone

(949) 629-3730

NPI assigned

Aug 11, 2022

Last updated

Aug 11, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Insight Psychology & Addiction

  dba Nsight Recovery

  • Adult Mental Health Clinic/Center
  • Newport Beach, CA
  • NPI 1265857213
  NPD (past)

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1497483903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 112",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602255",
            "telephone_number": "949-629-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdominguez@nsightrecovery.com",
            "affiliation": "Y",
            "affiliationName": "Insight Psychology & Addiction",
            "address_1": "4000 Birch St",
            "address_2": "Suite 112a",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926602211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen W Doggett, M.D.
• Michelle Kathryn Dogterom, AMFT
• Victoria Valeri Dolidze, C.P.T.
• Shelley Dolkas Lickl, PA
• Samuel Domingo, MSN, FNP
• Steven Dominguez, MD
• Don F. Mills, M.D.
• Donald R. Abrahm M.D., Inc
• Donald S. Mowlds, M.D., a Professional Corporation
• Dorene Kay Donayre, NP

• Case Manager/Care Coordinator in Newport Beach, CA
• Providers in Newport Beach, 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 11, 2022; 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.