NANCY DOMINGO (NPI# 1710528484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528484 |
| Entity Type | Individual |
| Full Name | NANCY DOMINGO |
| Practice Address |
205 Pasadena Ave South Pasadena CA 91030-2919 |
| Practice Telephone | 3233445536 |
| Mailing Telephone | 3233445536 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 7368 | 01 |
| CA | MEDI-CAL | 7667 | 01 |
| CA | MEDI-CAL | 7708 | 01 |
| CA | MEDI-CAL | 7184 | 01 |
| Street Address |
205 PASADENA AVE |
| City | SOUTH PASADENA |
| State | CA |
| Zip Code | 91030-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750410098 | Azalea Ann Becerra | Marriage & Family Therapist | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2007-03-04 |
| 1235730342 | Abigail Avalos | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-11-04 |
| 1730795089 | Sarah Margaret Potter | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-09-22 |
| 1003422007 | Qing Ye | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-09-16 |
| 1689295172 | Zanetta Anne Chichester | Social Worker | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-05-06 |
| 1366062119 | Eliza Nava Romero | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030 | 2020-04-22 |
| 1588284590 | Jessica Varela | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-04-20 |
| 1669004156 | Diana Karen Marias | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-02-12 |
| 1487286746 | Briahna Nicole Manier | Social Worker | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-02-05 |
| 1891338091 | Odette Alejandra Reyes | Counselor | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2019-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306444674 | Heather Marie Delman | Marriage & Family Therapist | 1425 Oneonta Knoll, So Pasadena, CA 91030 | 2020-10-09 |
| 1568986883 | Richard Gonzalez | Behavior Technician | 625 S Fair Oaks Ave #300, South Pasadena, CA 91030 | 2017-07-28 |
| 1366991150 | Nereida Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 200, South Pasadena, CA 91030 | 2016-09-22 |
| 1043618192 | Clelia Alonzo | Specialist | 1317 Huntington Dr., Cos Services Building, South Pasadena, CA 91030 | 2014-12-05 |
| 1740687359 | Francisco Acosta | Behavioral Analyst | 625 S Fair Oaks Ave, Suite 300, South Pasadena, CA 91030 | 2014-11-25 |
| 1700289030 | James Y. Law | Pharmacist | 1678 Camino Lindo, S. Pasadena, CA 91030 | 2014-10-01 |
| 1760893994 | Joanna Ku | Rehabilitation Practitioner | 1855 Hill Drive, South Pasadena, CA 91030 | 2014-05-09 |
| 1336568294 | Sarah Sicher | Psychiatry & Neurology | 729 Mission St Ste 300, South Pasadena, CA 91030 | 2014-04-08 |
| 1265799530 | Xiaodong Li | Pathology | 314 Monterey Rd Unit 14, South Pasadena, CA 91030 | 2012-04-11 |
| 1831477124 | South Pasadena General Dentistry Inc | Dentist | 1506 Huntington Drive, South Pasadena, CA 91030 | 2011-08-03 |
| Find all providers in zip 91030 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062119 | Eliza Nava Romero | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030 | 2020-04-22 |
| 1588284590 | Jessica Varela | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-04-20 |
| 1669004156 | Diana Karen Marias | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2020-02-12 |
| 1376194035 | Moises A Sandoval | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2019-09-24 |
| 1528526068 | Francisco Salvador Ardon | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2019-03-04 |
| 1033690037 | Bernette Serrano | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2018-08-27 |
| 1558800664 | Nancy Yescas | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2017-02-22 |
| 1275986440 | Luis Arreola | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2016-07-22 |
| 1811382278 | Jennifer Arredondo | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2015-04-02 |
| 1093106551 | Maritza Esperanza Zamora | Case Manager/Care Coordinator | 205 Pasadena Ave, South Pasadena, CA 91030-2919 | 2015-02-05 |
| Find all providers in SOUTH PASADENA | ||||
| City | SOUTH PASADENA |
| Zip Code | 91030 |
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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.