Individual provider Active NPI

Monique Hazel Sendayen Domalanta, FNP-C

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1548069172
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95034171 Issued in CA
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

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014003991 CA Practitioner - Nurse Practitioner 7113414038 Reassigns benefits to 1 organization

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
Omar Osman Practice, LLCGroup PAC ID 4385014042, 45 clinicians

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

OrganizationSpecialtyStatusNew patients
Omar Osman Practice, LLC CurrentSince Jul 27, 2025 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.

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

Verify at the official NPI Registry.