MS. DOMINIQUE SHAUNTE REYNOLDS (NPI# 1891038550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891038550 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE SHAUNTE REYNOLDS |
| Practice Address |
5300 Angeles Vista Blvd Los Angeles CA 90043-1648 |
| Practice Telephone | 3232954555 |
| Practice Fax Number | 3232953021 |
| Mailing Telephone | 3232954555 |
| Mailing Fax Number | 3232953021 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2014-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5300 ANGELES VISTA BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90043-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790846913 | Barry Steven Feinberg | Social Worker | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2006-12-12 |
| 1730780123 | Michelle Esparza | Marriage & Family Therapist | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2020-11-03 |
| 1952728768 | Howard Tan | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2014-03-19 |
| 1225459688 | Brenda Gutierrez | Case Manager/Care Coordinator | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2014-01-02 |
| 1528309895 | Maryanne Joy Tolentino Atienza | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2013-03-11 |
| 1871834143 | Tacara M. Fleming | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043-1648 | 2013-03-11 |
| 1194077461 | Autumn Nechele Glass | Counselor | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-10-10 |
| 1568713154 | Nellie Mae Haley | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-09-24 |
| 1710237144 | Chevonne Larena Almachar | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-09-13 |
| 1841553013 | Jocelyn Veronica Vibar | Licensed Vocational Nurse | 5300 Angeles Vista Blvd, Los Angeles, CA 90043 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841772209 | Ichizo Yamada | Counselor | 5318 S Crenshaw Blvd., Los Angeles, CA 90043 | 2018-09-02 |
| 1568961613 | Marnelle Mascardo | Counselor | 5318 S. Crenshaw Blvd., Los Angeles, CA 90043 | 2018-02-05 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1770946303 | Toby Lapesarde | Licensed Vocational Nurse | 5300 Angeles Vista Boulevard, Los Angeles, CA 90043 | 2016-03-31 |
| 1134591480 | Coast Wise Solution | Case Management | 2728 54th St, Los Angeles, CA 90043 | 2015-10-27 |
| 1033589155 | Nina Gonzaga | Marriage & Family Therapist | 4401 Crendshaw Blvd, #300, Los Angeles, CA 90043 | 2015-10-01 |
| 1861743189 | Donna M. Tizenor-tate | Counselor | 5300 Angeles Vista Blvd., Los Angeles, CA 90043 | 2012-09-26 |
| 1952657736 | Willie Frank Sibley Jr. | General Practice | 4330 Monteith Dr, Los Angeles, CA 90043 | 2012-07-30 |
| 1639449119 | Nelson M Okeke | Counselor | 8814 S. Western Ave, La, CA 90043 | 2011-12-30 |
| 1578840799 | Economic Services, Incorporated | Exclusive Provider Organization | 5144 Crenshaw Blvd., Los Angeles, CA 90043 | 2011-11-16 |
| Find all providers in zip 90043 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
| 1063046795 | Leanne Margaret Cremin | Rehabilitation Practitioner | 2285 Westwood Blvd, Los Angeles, CA 90064-2017 | 2020-03-03 |
| 1720610421 | Ronmoe Inc | Rehabilitation Practitioner | 2025 Westwood Blvd, Los Angeles, CA 90025-6328 | 2020-02-10 |
| 1104390723 | Joana Rodriguez | Rehabilitation Practitioner | 3731 Stocker St., Suite 105, Los Angeles, CA 90008 | 2019-01-16 |
| 1376055145 | Gentle F Carcamo | Rehabilitation Practitioner | 3731 Stoker Street, Ste. 105, Los Angeles, CA 90008 | 2017-11-01 |
| 1114445848 | Claudia Melgar | Rehabilitation Practitioner | 1540 Alcazar St # St133, Los Angeles, CA 90089-0080 | 2017-09-01 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1295257111 | Freddy Pablo | Rehabilitation Practitioner | 3580 Wilshire Blvd., Ste. 800, Los Angeles, CA 90010 | 2017-07-12 |
| 1356893796 | Rosemary Marroquin | Rehabilitation Practitioner | 511 N Harvard Blvd, Los Angeles, CA 90004-1906 | 2016-11-02 |
| 1902356520 | Aida Kimberly Escobar | Rehabilitation Practitioner | 2715 E 5th St, Los Angeles, CA 90033-4422 | 2016-10-06 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90043 |
Please comment or provide details below to improve the information on MS. DOMINIQUE SHAUNTE REYNOLDS.
| 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.