Yesenia Dominguez, RN, PHN
Registered Nurse in San Diego, CA. Individual provider (NPI-1).
NPI number1982006086
StatusActive
Last updated in NPPESSep 29, 2016
Details
- NPI
- 1982006086
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Yesenia Dominguez
- Credential
- RN, PHN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2014
- Last updated
- Sep 29, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 706324 | CA | Yes |
Practice location
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-692-5698 · Fax 619-692-5702
Mailing address
3851 Rosecrans StSan Diego, CA 92110-3115
Phone 619-692-5698 · Fax 619-692-5702
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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