Lori Ann Dominguez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

280581 Issued in CA

Practice address

811 W Telegraph Rd
Santa Paula, CA 93060-5400

Phone

(805) 265-4894

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1598447245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 E VENTURA ST APT D",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930604603",
            "telephone_number": "805-921-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W TELEGRAPH RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930605400",
            "telephone_number": "805-265-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "LORI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "280581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Delgado
• Marybell Delgado
• Gary M Deutsch, M.D.
• Terri Diffley
• Nader Ashley Djahangiri, PHARMD
• Victor Gonzalez Dominguez, M.D.
• Dr. Periklis Proussaefs, a Professional Dental Corporation (Santa Paula Dental Group)
• Emilee Dubreuil, MA, EDS
• Carissa Kohana Dykes
• Early Learning Partners Inc

• Licensed Vocational Nurse in Santa Paula, CA
• Providers in Santa Paula, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.