Active NPI
Monique Hazel Sendayen Domalanta, FNP-C
- Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95034171
- Practice address
- 6975 Paradise Valley Rd Apt 86
San Diego, CA 92139-1267 - Phone
- (619) 900-5613
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95034171 | CA | Primary |
Addresses
Primary practice location
6975 Paradise Valley Rd Apt 86
San Diego, CA 92139-1267
Mailing address
6975 Paradise Valley Rd Apt 86
San Diego, CA 92139-1267
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
541 S V Ave
National City, CA 91950-2828
Phone (619) 791-7900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omar Osman Practice, LLC | Current | Accepting new patients |
Locations
3050 Montrose Ave
La Crescenta, CA 91214
Phone (818) 236-3400
902 Euclid Ave
National City, CA 91950
Phone (619) 791-7700
541 S V Ave
National City, CA 91950
Phone (619) 761-7900
5602 University Ave
San Diego, CA 92105
Phone (619) 583-1993
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1669192472
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1548069172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6975 PARADISE VALLEY RD APT 86",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921391267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6975 PARADISE VALLEY RD APT 86",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921391267",
"telephone_number": "619-900-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMALANTA",
"first_name": "MONIQUE HAZEL",
"middle_name": "SENDAYEN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95034171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.