Organization Active NPI

Domingo Wellness Psychiatric Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1881518876
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DOMINGO WELLNESS PSYCHIATRIC NURSING CORPORATION
Practice address
3861 S Bristol St Ste 1072
Santa Ana, CA 92704-7426
Phone
(619) 888-3089
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leo Ernie Manangan Domingo, NP
Title
Psychiatric Nurse Practitioner
Phone
(619) 888-3089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3861 S Bristol St Ste 1072
Santa Ana, CA 92704-7426

Mailing address

3861 S Bristol St Ste 1072
Santa Ana, CA 92704-7426
Phone (619) 888-3089

National Provider Directory

National Provider Directory

Locations

3861 S Bristol St
Ste 1072
Santa Ana, CA 92704

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1881518876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 S BRISTOL ST STE 1072",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047426",
            "telephone_number": "619-888-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3861 S BRISTOL ST STE 1072",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047426",
            "telephone_number": "619-888-3089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINGO WELLNESS PSYCHIATRIC NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "LEO ERNIE",
        "authorized_official_middle_name": "MANANGAN",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "619-888-3089",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.