Kristine Grace Zamora Dominguez

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

95220052 Issued in CA

Practice address

4522 Deermeadow Way
Antioch, CA 94531-7144

Phone

(925) 316-8544

NPI assigned

Oct 24, 2022

Sex

Female

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

State licenses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821715673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 DEERMEADOW WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317144",
            "telephone_number": "925-316-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 DEERMEADOW WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317144",
            "telephone_number": "925-316-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KRISTINE GRACE",
        "middle_name": "ZAMORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95220052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwayna Dixon
• Arnita Dobbins
• Deanna Dobler-Wilkes
• Craig Andrew Doiron
• Sarah-Bianca Dolisca, M.D.
• Roderick Donald, MSW
• Scott Foster Donaldson, D.C.
• Justin James Gudilano Donato
• Diana Dopchiz de Martin, LMFT
• Emily Dorigatti

• General Practice Registered Nurse in Antioch, CA
• Providers in Antioch, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.