Jaime Dominguez

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

212 Carmen LN Ste 2012ND
Santa Maria, CA 93458-7769

Phone

(805) 212-7680

Fax

(805) 922-7149

NPI assigned

Dec 28, 2018

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1750853974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 2012ND",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-212-7680",
            "fax_number": "805-922-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN STE 2012ND",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-212-7680",
            "fax_number": "805-922-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JAIME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam DO
• Tracy DO
• Veronica Dobrick, PSYCHIATRIC TECHNICI
• Isaiah Gavin Dollahite
• Edward Balbino Cosme Garcia Domingo, R. PH.
• Laura Lidia Dominguez, NP
• Maeve-Darly Domond
• Don Kim Acupuncture Inc
• Edward P Donahue, PT
• Donald T. Cale

• Mental Health Counselor in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.