DOMINIQUE FITRIA SUKANI (NPI# 1407401318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407401318 |
| Entity Type | Individual |
| Full Name | DOMINIQUE FITRIA SUKANI |
| Practice Address |
22978 El Toro Rd Lake Forest CA 92630-4961 |
| Practice Telephone | 5103171444 |
| Mailing Telephone | 5103171444 |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2470A2800X |
Technician, Health Information Specialization: Assistant Record Technician |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
22978 EL TORO RD |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-4961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689841629 | Kathryn Bryan | Marriage & Family Therapist | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2008-05-09 |
| 1538770680 | Jennifer Leigh Blair | Social Worker | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2020-08-12 |
| 1922648518 | Linda Cole-taylor | Social Worker | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2020-01-10 |
| 1154976173 | Lindsey Nicole Canrell | Technician, Health Information | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2019-08-06 |
| 1760959563 | Shanel Castrejon | Marriage & Family Therapist | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-10-30 |
| 1811477144 | Kaleen Cole | Social Worker | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-08-16 |
| 1932686268 | Valandra Calderon | Marriage & Family Therapist | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-07-19 |
| 1376034371 | Seneca Family of Agencies | Community/Behavioral Health | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-05-24 |
| 1851810717 | Flavia Crovetto Hartley | Counselor | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2017-09-12 |
| 1760871974 | Erica Ohye | Counselor | 22978 El Toro Rd, Lake Forest, CA 92630-4961 | 2015-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 2470A2800X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Health Information |
| Specialization | Assistant Record Technician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1689182503 | Andrea Coleman | Technician, Health Information | 255 Washington Rd, Apt 814, Chowchilla, CA 93610-1914 | 2018-01-12 |
| 1508313883 | Esther Molina | Technician, Health Information | 2219 Denver St, San Diego, CA 92110-3335 | 2016-09-05 |
| 1649547076 | Lila Sun Nam | Technician, Health Information | 18302 Irvine Blvd #300, Tustin, CA 92780 | 2011-11-30 |
| 1104193028 | Ruth Rebecca Martinez | Technician, Health Information | 8141 E Kaiser Blvd Ste 100, Anaheim, CA 92808-2240 | 2011-11-21 |
| 1124200712 | Tara Danita Payne-steele | Technician, Health Information | 8750 Mountain Blvd Bldg 69a, Oakland, CA 94605-4500 | 2007-12-05 |
| 1306963392 | Telana Courseault | Technician, Health Information | 233 N. Quintana Dr., Anaheim, CA 92807-4029 | 2007-03-23 |
| 1750981205 | Valerie M Diaz | Technician, Health Information | 306 E Main St Ste 300, Stockton, CA 95202-2908 | 2020-10-26 |
| 1457959215 | Tracy Nguyen | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-14 |
| 1225636244 | Pooja Prasad | Technician, Health Information | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on DOMINIQUE FITRIA SUKANI.
| 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.