Dominador Mansat Jr, a Professional Nursing Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP

Practice address

1910 S Archibald Ave Ste D
Ontario, CA 91761-8503

Phone

(909) 348-2556

Fax

(877) 615-1555

NPI assigned

Apr 5, 2023

Organization subpart

No

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

Authorized official

Name

Dominador Mansat Jr., FNP-CNPI 1700500600

Title

Ceo

Phone

(909) 348-3067

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominador Peralta Mansat Jr., FNP-C

  • Family Nurse Practitioner
  • Ontario, CA
  • NPI 1700500600
  NPD Authorized official
• Arnold Mansat

  • Assisted Living Facility
  • Apple Valley, CA
  • NPI 1710742887
  NPD

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1972298180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 RETREAT PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917309200",
            "telephone_number": "909-348-2556",
            "fax_number": "877-615-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S ARCHIBALD AVE STE D",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917618503",
            "telephone_number": "909-348-2556",
            "fax_number": "877-615-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINADOR MANSAT JR, A PROFESSIONAL NURSING CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "MANSAT",
        "authorized_official_first_name": "DOMINADOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-348-3067",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Doan
• Chloe Jean Dobbert
• Barbara Nancy Dobbs
• Doctor'S Managed Community Health Center, Inc
• Martin R. Dole, RN
• Anayeli Dominguez Pena
• Andy M Dominguez
• Sascha Dominque
• Asha Leigh Dones
• Rhonda Renee Donlin, PTA

• Family Nurse Practitioner in Ontario, CA
• Providers in Ontario, 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 Apr 5, 2023; 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.