Active NPI
Jasmine Garcia-Dominguez
- Counselor
- North Highlands, CA
National Provider Identifier
1639891617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 109168
- Practice address
- 4815 Watt Ave
North Highlands, CA 95660-5108 - Phone
- (916) 454-2345
- NPI assigned
- Sep 15, 2022
- Last updated
- Sep 16, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 109168 | CA | Primary |
Addresses
Primary practice location
4815 Watt Ave
North Highlands, CA 95660-5108
Mailing address
1860 Howe Ave Ste 455
Sacramento, CA 95825-1086
Phone (916) 454-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109168 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1639891617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 HOWE AVE STE 455",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251086",
"telephone_number": "916-454-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4815 WATT AVE",
"city": "NORTH HIGHLANDS",
"state": "CA",
"postal_code": "956605108",
"telephone_number": "916-454-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA-DOMINGUEZ",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "109168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Highlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.