MARK ANTHONY DOMINGUEZ (NPI# 1124276191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124276191 |
| Entity Type | Individual |
| Full Name | MARK ANTHONY DOMINGUEZ |
| Credential | BA, RASI |
| Practice Address |
1120 Union Ave Bakersfield CA 93307-1051 |
| Practice Telephone | 6618616141 |
| Practice Fax Number | 6618616165 |
| Mailing Telephone | 6618616141 |
| Mailing Fax Number | 6618616165 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-D0808041505 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528425212 | Mark Anthony Dominguez | Counselor | 3825 24th Ave Se, Apt. #5, Norman, OK 73071-1770 | 2016-01-26 |
| 1043428170 | Mark Jason Dominguez | Surgery | 606 W 11th Ave, Covington, LA 70433-3630 | 2007-05-21 |
| Street Address |
1120 UNION AVE |
| City | BAKERSFIELD |
| State | CA |
| Zip Code | 93307-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465876 | Randal Aaron Force II | Case Manager/Care Coordinator | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2007-03-19 |
| 1619321767 | Lorraine Esther Castro | Marriage & Family Therapist | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2016-04-14 |
| 1649624701 | David Laurence | Counselor | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2016-04-14 |
| 1942678305 | Valerie Montoya | Counselor | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2015-09-02 |
| 1699937573 | Brenda Kay Nichols | Counselor | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2008-07-01 |
| 1912111311 | Turning Point of Central California Inc. | Community/Behavioral Health | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2007-05-09 |
| 1104940634 | Michelle Susanne Roy | Case Manager/Care Coordinator | 1120 Union Ave, Bakersfield, CA 93307-1051 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669936183 | New Leaf Pharmacy Inc | Pharmacy | 2303 S Union Ave Unit E8, Bakersfield, CA 93307 | 2019-01-29 |
| 1740744986 | Dora Robledo | Case Manager/Care Coordinator | 1600 E Belle Terrace Avenue, Bakersfield, CA 93307 | 2019-01-22 |
| 1083107890 | Sabrina Johnson | Case Manager/Care Coordinator | 1600 E Belle Terrance, Bakersfield, CA 93307 | 2018-06-07 |
| 1346799145 | Amandeep Singh | Physical Therapist | 1718 Panama Ln, Appt 904, Bakersfield, CA 93307 | 2016-09-22 |
| 1124478821 | Rafael Gomez | Case Manager/Care Coordinator | 1600 E Belle Terrace, Bakersfield, CA 93307 | 2016-06-14 |
| 1669820098 | Corinne Campbell | Licensed Vocational Nurse | 1010 1/2 South Union, Bakersfield, CA 93307 | 2016-05-26 |
| 1174992523 | Sean Battle Sr. | Case Manager/Care Coordinator | 325 E. Fairview Rd, Bakersfield, CA 93307 | 2015-09-16 |
| 1447634787 | Christina Elizabeth Cortez | Case Manager/Care Coordinator | 1600 E. Belle Terrace, Bakersfield, CA 93307 | 2015-07-16 |
| 1043693252 | Ramon Audelo Jr. | Social Worker | 800 Ming Ave, Bakersfield, CA 93307 | 2015-07-07 |
| 1023415882 | Way'ztown Inc | Non-emergency Medical Transport (VAN) | 1326 E California Ave, Bakersfield, CA 93307 | 2014-11-21 |
| Find all providers in zip 93307 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554157 | Wecare Psychology Group Inc | Counselor | 1430 Truxtun Ave Ste 500, Bakersfield, CA 93301-5243 | 2020-09-25 |
| 1356807796 | Nicole Marie Whisenant | Counselor | 610 Grace St, Bakersfield, CA 93305-3703 | 2019-02-11 |
| 1932664984 | Diane Flores | Counselor | 2716 Eric Ct, Bakersfield, CA 93306-2621 | 2019-02-04 |
| 1740751619 | Jimmy Garcia | Counselor | Aegis Treatment Center, 1018 21st St, Bakersfield, CA 93301 | 2018-12-17 |
| 1619457355 | Deon L Duffey | Counselor | 300 E Truxtun Ave Ste A, Bakersfield, CA 93305-5659 | 2018-08-21 |
| 1114430543 | Pauline Castellon-swinehart | Counselor | 2920 H St, Bakersfield, CA 93301-1943 | 2017-11-07 |
| 1013436021 | Benjamin Gromer Page | Counselor | Po Box 3218, Bakersfield, CA 93385-3218 | 2017-09-12 |
| 1205350386 | Raeisha Lynn Hunter | Counselor | 5121 Stockdale Hwy # 150a, Bakersfield, CA 93309-2656 | 2017-07-31 |
| 1790209153 | Maraam Haddad | Counselor | 5121 Stockdale Hwy Ste 150a, Bakersfield, CA 93309-2656 | 2017-07-27 |
| 1134679434 | Talesha Dashawn Bailey | Counselor | 1018 21st Street, Bakersfield, CA 93301 | 2016-10-11 |
| Find all providers in BAKERSFIELD | ||||
| City | BAKERSFIELD |
| Zip Code | 93307 |
Please comment or provide details below to improve the information on MARK ANTHONY DOMINGUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.