DOMINIQUE GRIFFIN (NPI# 1164946992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164946992 |
Entity Type | Individual |
Full Name | DOMINIQUE GRIFFIN |
Credential | NP |
Practice Address |
9808 Venice Blvd Ste 505 Culver City CA 90232-6818 |
Practice Telephone | (310) 237-0461 |
Practice Fax Number | 3109453356 |
Mailing Telephone | 3102370461 |
Mailing Fax Number | 3109453356 |
Enumeration Date | 2017-08-02 |
Last Update Date | 2019-05-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95009310 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
4525 E Atherton St, Long Beach, CA 908153700 | 5629610155 | 5629610161 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891246732 | Dominique Griffin | Case Manager/Care Coordinator | 600 Bercut Dr, Sacramento, CA 95811-0131 | 2016-10-15 |
Street Address |
9808 VENICE BLVD STE 505 |
City | CULVER CITY |
State | CA |
Zip Code | 90232-6818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023180221 | Veronica Lyn Arres | Registered Nurse | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2006-11-14 |
1972067049 | Lucas Lebovitz | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2019-01-23 |
1588135263 | Natalie Campen | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-12-06 |
1114495306 | Robert Ireland | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-11-06 |
1033684337 | Catherine Wang | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-10-12 |
1972088656 | Maria Fuentes | Rehabilitation Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-09-28 |
1407331291 | Lizette Sanchez Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-09-27 |
1386129070 | William Garcia | Rehabilitation Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-09-27 |
1821573510 | Marjani Johnson | Rehabilitation Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-09-27 |
1114401353 | Trashon Perkins | Rehabilitation Practitioner | 9808 Venice Blvd Ste 505, Culver City, CA 90232-6818 | 2018-09-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
Find all providers in zip 90232 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669097507 | Breanna Taylor Sciarrino | Nurse Practitioner | 300 Corporate Pointe, Culver City, CA 90230-7614 | 2020-06-16 |
1023566825 | Deva Stevens | Nurse Practitioner | 9808 Venice Blvd, Ste. 505, Culver City, CA 90232-2732 | 2016-09-21 |
1730596768 | Shirley Tucker-ashton | Nurse Practitioner | 9808 Venice Blvd, Suite 505, Culver City, CA 90232-2732 | 2014-07-22 |
1194150383 | Victoria Ndubaku | Nurse Practitioner | 9808 Venice Blvd, 700, Culver City, CA 90232-2732 | 2013-09-06 |
1275967341 | Imelda Okoli | Nurse Practitioner | 3831 Hughes Ave, Ste 506, Culver City, CA 90232-6860 | 2013-08-26 |
1053744870 | Paul Pham Araullo | Nurse Practitioner | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2013-08-15 |
1275975294 | Winnie Kao | Nurse Practitioner | 9808 Venice Blvd, Suite 700, Culver City, CA 90232-2732 | 2013-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St Apt 214, Glendale, CA 91205-2092 | 2020-11-04 |
1033718580 | John Sylvanus Allieu Sr. | Nurse Practitioner | 2672 Merganser Ct, Los Banos, CA 93635-9473 | 2020-10-25 |
1316546930 | Chika U Oguagha | Nurse Practitioner | 16240 Carmine St, Fontana, CA 92336-1481 | 2020-10-23 |
1215534888 | Rosa Maria Aguero | Nurse Practitioner | 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 | 2020-10-06 |
1134726995 | Margarita Maghtesyan | Nurse Practitioner | 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 | 2020-10-05 |
1043827140 | April Lopez Ortiz | Nurse Practitioner | 500 W Ashland Ct, Visalia, CA 93277-6609 | 2020-09-23 |
1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | CULVER CITY |
Zip Code | 90232 |
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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.