Ernest Gonzales Dominguez Jr., CAADACII

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2525 N Chester Ave Ste a
Bakersfield, CA 93308-1770

Phone

(661) 868-1800

Fax

(661) 868-1801

NPI assigned

Mar 7, 2007

Sex

Male

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

Practice roles

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.

• Kern Behavioral Health and Recovery Services

  • Recovery Care Clinic/Center
  • Bakersfield, CA
  • NPI 1316441215
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689705337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021000",
            "telephone_number": "661-868-1800",
            "fax_number": "661-868-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N CHESTER AVE STE A",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081770",
            "telephone_number": "661-868-1800",
            "fax_number": "661-868-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ERNEST",
        "middle_name": "GONZALES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CAADACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Dominguez Montoya
• Adriane Mariana Dominguez
• Angel Dominguez
• Beatriz Dominguez
• Cecelia Dominguez
• Kennedy Lynn Dominguez
• Mark Anthony Dominguez, MA PSYCH LMFT135452
• Nachell N Dominguez
• Tammy Gay Dominguez
• Data Osawuoname Don-Pedro, MD

• All providers in Bakersfield, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.