JENNIFER DOMINGUEZ (NPI# 1972931335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972931335 |
| Entity Type | Individual |
| Full Name | JENNIFER DOMINGUEZ |
| Practice Address |
100 Prison Rd Represa CA 95671-0066 |
| Mailing Address |
Po Box 290066 Represa CA 95671-0066 |
| Practice Telephone | 9169858610 |
| Practice Fax Number | 9162943121 |
| Mailing Telephone | 9169858610 |
| Mailing Fax Number | 9162943121 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | LCSW 21676 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285192138 | Jennifer Jane Dominguez | Social Worker | 1314 D St, Floresville, TX 78114-2316 | 2019-03-11 |
| 1689273179 | Jennifer Dominguez | Nurse's Aide | 70 S River St, Aurora, IL 60506-5185 | 2020-10-26 |
| 1588036347 | Jennifer Dominguez | Physician Assistant | 6811 Porto Fino Cir, Fort Myers, FL 33912-4354 | 2015-10-20 |
| 1417229899 | Jennifer Dominguez | Counselor | 8407 S Vermont Ave, Los Angeles, CA 90044-3423 | 2012-02-01 |
| 1619268000 | Jennifer Marie Dominguez | Pharmacist | 232 Main St, Gardner, MA 01440-2927 | 2011-04-20 |
| 1487803490 | Jennifer Dominguez | Anesthesiology | 2100 Erwin Rd, Durham, NC 27705-3941 | 2008-09-15 |
| Street Address |
100 PRISON RD |
| City | REPRESA |
| State | CA |
| Zip Code | 95671-0066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730269929 | Kathryn Eilene Peters | Pharmacist | 100 Prison Rd, Represa, CA 95671-3000 | 2006-10-16 |
| 1043795875 | Marsha Evans | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-09-27 |
| 1528545738 | Abby Molinet | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2018-07-20 |
| 1053847665 | Jacqueline Daasch Caoile | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2017-05-03 |
| 1427509314 | Kathryn Manness | Social Worker | 100 Prison Rd, Represa, CA 95671-3000 | 2016-10-17 |
| 1124575717 | Juzelie Gomez | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2016-09-01 |
| 1336500412 | Alyssa Aguilar | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2016-03-16 |
| 1841674579 | Pembe Ethem | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2015-07-13 |
| 1326441627 | Suzanne Ladson | Psychologist | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-30 |
| 1740682228 | Nicole Thompson | Student in an Organized Health Care Education/Training Program | 100 Prison Rd, Represa, CA 95671-3000 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811207426 | Nicole Calma | Counselor | 100 Prison Road Sacramento State Prison, Represa, CA 95671 | 2010-10-15 |
| 1578737359 | Laura Beebe | Registered Nurse | 1 Prison Road, Csp Sacramento, Folsom, CA 95671 | 2008-04-14 |
| 1588661730 | Gregory Carl Tinloy | Dentist | 100 Prison Rd., Represa, CA 95671 | 2005-07-01 |
| 1174768972 | Timothea Greer Mcginley | Psychologist | 100 Prison Road, Csp Sacramento, Represa, CA 95671 | 2008-12-08 |
| 1275717340 | Harry Moran Singh Dhesi | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-24 |
| 1235312463 | John Maciel Jr. | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1730362930 | Dennis Rulon Fairbourn | Dentist | 100 Prison Road, California State Prison Sacramento, Represa, CA 95671 | 2007-12-11 |
| 1194070219 | Regina White | Social Worker | Csp Sacramento Mhsds Regina White, 100 Prison Road, Represa, CA 95671-0001 | 2012-07-14 |
| 1306174933 | Dudley Atkinson | Social Worker | Csp Sacramento, 100 Prison Road P.o., Represa, CA 95671-0001 | 2009-11-19 |
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| Find all providers in zip 95671 | ||||
| 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 |
|---|---|---|---|---|
| 1932344280 | Amy Louise Holliday | Case Manager/Care Coordinator | California State Prison At Sacramento, 100 Prison Rd, Represa, CA 95671-0001 | 2008-12-15 |
| 1811131352 | Linda Lee Vanderostyne | Case Manager/Care Coordinator | 100 Prison Rd, Represa, CA 95671-3000 | 2009-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275935 | Grecia Leticia Garcia | Case Manager/Care Coordinator | 1830 Rodgers Rd Apt F, Hanford, CA 93230-1930 | 2020-11-03 |
| 1679173835 | Cristina Palacios-gomez | Case Manager/Care Coordinator | 1834 E Lester Ave, Fresno, CA 93720-1963 | 2020-10-27 |
| 1417557653 | Jeannine Arnetta Nash | Case Manager/Care Coordinator | 7614 Lemon Ave Ste C, Lemon Grove, CA 91945-1619 | 2020-10-27 |
| 1932709359 | Vue Moua | Case Manager/Care Coordinator | 4812 Conzelman Way, Elk Grove, CA 95757-2508 | 2020-10-26 |
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1194324020 | Project Raised | Case Manager/Care Coordinator | 3839 Amanda St, Unit 133, West Covina, CA 91792-2759 | 2020-10-21 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1750989240 | David John Schmidt-cook | Case Manager/Care Coordinator | 5580 Foothill Rd, Rocklin, CA 95677-3316 | 2020-10-15 |
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1841897675 | Madeline Hannah Starkenburg | Case Manager/Care Coordinator | 11559 Claridge Dr, Rch Cucamonga, CA 91730-7246 | 2020-10-05 |
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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.