Individual provider Active NPI

Cecilia Dominguez Pimentel

  • Primary Care Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1922982024
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95031970 Issued in CA
Practice address
983 E Olive St
Pomona, CA 91766-6339
Phone
(909) 287-6538
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95031970 CA Primary

Addresses

Primary practice location

983 E Olive St
Pomona, CA 91766-6339

Mailing address

983 E Olive St
Pomona, CA 91766-6339
Phone (909) 287-6538

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251002003754 CA Practitioner - Nurse Practitioner 8325544877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John'S Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

1060 W Exposition Blvd
Los Angeles, CA 90037-3632
Phone (323) 541-1600

15301 S San Jose Ave
Compton, CA 90221-3131
Phone (562) 630-6825

15715 S Atlantic Ave
FL 2
Compton, CA 90221-4242
Phone (562) 630-6825

1741 E 120TH St
Los Angeles, CA 90059-3051
Phone (323) 541-1600

1910 Magnolia Ave
Suite 101
Los Angeles, CA 90007-1220
Phone (213) 749-0947

2115 N Wilmington Ave
Compton, CA 90222-2030
Phone (310) 603-1332

326 W 23Rd St
Los Angeles, CA 90007-2612
Phone (323) 541-1600

5701 S Hoover St
Los Angeles, CA 90037-4045
Phone (323) 541-1411

6505 8TH Ave
Los Angeles, CA 90043-4313
Phone (323) 750-9232

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031970CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Sep 20, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Sep 20, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1922982024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 E OLIVE ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666339",
            "telephone_number": "909-287-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 E OLIVE ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917666339",
            "telephone_number": "909-287-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "CECILIA",
        "middle_name": "DOMINGUEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95031970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.