Martha Dominguez Piceno, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005448 Issued in CA

Practice address

1250 E. Almond Ave.
Madera, CA 93637

Phone

(559) 675-5555

NPI assigned

Feb 22, 2017

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

State licenses

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1770022899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E. ALMOND AVE.",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93637",
            "telephone_number": "559-675-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E. ALMOND AVE.",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93637",
            "telephone_number": "559-675-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ PICENO",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie C Dinoto, LMFT
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• Mercedes Adeidra Brooke Dobson-Brazier, PT, DPT
• Doctoors Medical Group PC
• Madison Dodds, MS, CGC
• Victoria Dominguez, LCSW
• Michelle Marie Dommermuth, NP
• Richard Lee Donati
• Jonathan Brett Donoviel
• Angie Dorame, PA-S

• Family Nurse Practitioner in Madera, CA
• Providers in Madera, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.