MRS. LORRAINE MAE DOMINICK (NPI# 1205265931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205265931 |
| Entity Type | Individual |
| Full Name | MRS. LORRAINE MAE DOMINICK |
| Credential | WHNP |
| Practice Address |
1310 San Bernardino Rd Upland CA 91786-4979 |
| Mailing Address |
8735 Mandarin Ave Alta Loma CA 91701-3368 |
| Practice Telephone | 9095790806 |
| Practice Fax Number | 9095791331 |
| Mailing Telephone | 9093957146 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
23698 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1310 SAN BERNARDINO RD |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114921830 | Lionel Bernard Katchem | Family Medicine | 1310 San Bernardino Rd, Ste 105, Upland, CA 91786-4979 | 2005-06-09 |
| 1023493095 | Madonna Zand | Nurse Practitioner | 1310 San Bernardino Rd, 205, Upland, CA 91786-4979 | 2015-07-20 |
| 1023406725 | Ian Joseph Donahue | Physician Assistant | 1310 San Bernardino Rd, Ste. 103, Upland, CA 91786-4979 | 2015-01-03 |
| 1811395221 | Noralyne Eini | Nurse Practitioner | 1310 San Bernardino Rd, Suite 105, Upland, CA 91786-4979 | 2014-12-17 |
| 1134522501 | Amanda Ingalls | Physician Assistant | 1310 San Bernardino Rd, Suite 101, Upland, CA 91786-4979 | 2014-09-30 |
| 1194028423 | Advanced Skin Clinic & Surgery, PC | Dermatology | 1310 San Bernardino Rd, Suite 207, Upland, CA 91786-4979 | 2010-12-08 |
| 1871747428 | Care for Womens Medical Group Inc | Obstetrics & Gynecology | 1310 San Bernardino Rd, Suite 201, Upland, CA 91786-4979 | 2008-11-10 |
| 1356502116 | Dalia Ibrahim-abdelaziz | Internal Medicine | 1310 San Bernardino Rd, Ste 103, Upland, CA 91786-4979 | 2008-06-24 |
| 1992917108 | Jeffrey D Ries D O A Professional Corporation | Psychiatry & Neurology | 1310 San Bernardino Rd, Ste 101, Upland, CA 91786-4985 | 2007-05-03 |
| 1710041686 | Tamuyen Nguyen | Dermatology | 1310 San Bernardino Rd, Suite 207, Upland, CA 91786-4979 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174935605 | Jeanine Armada | Nurse Practitioner | 1175 E Arrow Hwy Ste M, Upland, CA 91786-5525 | 2014-06-02 |
| 1104175611 | Jan Berry | Nurse Practitioner | 440 N Mountain Ave Suite 110, Upland, CA 91786 | 2012-08-30 |
| 1336352939 | Mary Eileen Berg | Nurse Practitioner | 600 N Mountain Ave, Suite A104, Upland, CA 91786-4359 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548819964 | Myra Sepulveda | Nurse Practitioner | 1700 Lombard St Ste 110, Oxnard, CA 93030-8288 | 2019-09-09 |
| 1639641699 | Zahra Jeylani Nur | Nurse Practitioner | 15101 Spectrum, Irvine, CA 92618-3426 | 2018-12-31 |
| 1518486125 | Patty Montoya | Nurse Practitioner | 1026 Felder St, Gardena, CA 90248-3348 | 2017-09-14 |
| 1902357817 | Alexandria Ludlow | Nurse Practitioner | 350 John Muir Pkwy Ste 205, Brentwood, CA 94513-5193 | 2016-10-17 |
| 1477922102 | Vanessa Domush | Nurse Practitioner | 845 E. Willow St, Signal Hill, CA 90755 | 2015-09-23 |
| 1174999015 | Kristina Hagopian | Nurse Practitioner | 8920 Wilshire Blvd Ste 525, Beverly Hills, CA 90211-1968 | 2015-08-14 |
| 1639553076 | Pacific Women's Healthcare Associates | Nurse Practitioner | 500 Superior Ave Ste 310, Newport Beach, CA 92663-3609 | 2015-07-15 |
| 1548655921 | Trudi J Petersen | Nurse Practitioner | 1700 Shattuck Ave # 75, Berkeley, CA 94709-3402 | 2015-04-01 |
| 1932590775 | Samah Shahzya Kureshi | Nurse Practitioner | 2619 Vanderbilt Ln Unit B, Redondo Beach, CA 90278-3318 | 2015-02-16 |
| 1346645801 | Norma Nix | Nurse Practitioner | 22423 Chase St, West Hills, CA 91304-3321 | 2014-10-27 |
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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.