NPIMap

Organization Active NPI

Maangela P Dominguez, DDS, a Professional Corporation

  • Dentist
  • Vallejo, CA
National Provider Identifier
1982964953
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50902 Issued in CA
Legal business name
MAANGELA P DOMINGUEZ, DDS, A PROFESSIONAL CORPORATION
Practice address
1808 Springs Rd
Vallejo, CA 94591-5518
Phone
(707) 647-1072
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Maangela Perez Dominguez, D.D.S.NPI 1952511040
Title
President
Phone
(707) 647-1072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 50902 CA Primary

Addresses

Primary practice location

1808 Springs Rd
Vallejo, CA 94591-5518

Mailing address

5890 Olinda Rd
El Sobrante, CA 94803-3544
Phone (310) 748-0419

National Provider Directory

National Provider Directory

Locations

1808 Springs Rd
Vallejo, CA 94591
Phone (707) 647-1072

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1982964953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 OLINDA RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033544",
            "telephone_number": "310-748-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SPRINGS RD",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945915518",
            "telephone_number": "707-647-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAANGELA P DOMINGUEZ, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "MAANGELA",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-647-1072",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "50902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.