Jacqueline Olivia Dolsen, DNP, RN, NNP-BC

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

95031392 Issued in CA

Practice address

100 W California Blvd
Pasadena, CA 91105-3010

Phone

(800) 903-9233

NPI assigned

Jul 1, 2024

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1710722756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12444 VENICE BLVD APT 315",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665535",
            "telephone_number": "248-515-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053010",
            "telephone_number": "800-903-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLSEN",
        "first_name": "JACQUELINE",
        "middle_name": "OLIVIA",
        "credential": "DNP, RN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CA",
            "license": "95031392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland Seawright Dodoo, M.D.
• Jamie Lee Galvan Dodson, DPT
• Michelle Louise Dogey, PHARM. D
• Doheny Eye Medical Group, Inc
• Nisha Dolman
• Inessa Dombrovsky, DO
• Ashlee Dominguez Adolfo
• Bertha Dominguez, LCSW
• Drena Dominguez
• Febril Padsoyan Dominguez

• Neonatal Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Neonatal Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.