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PATRICIA GWEN DOMINGUEZ SUDCC II
NPI 1043886054
Counselor - Addiction (Substance Use Disorder) in Roseville, CA

Active since June 01, 2021
1133 COLOMA WAY STE C, ROSEVILLE, CA 95661(916) 774-6647 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 1, 2025, Nov 11, 2025, Jun 3, 2021 (3 updates tracked since 2021).

About Patricia Gwen Dominguez Sudcc Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA GWEN DOMINGUEZ SUDCC II (NPI 1043886054) is an individual addiction (substance use disorder) provider in Roseville, California, licensed in California (20582) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1043886054
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePATRICIA GWEN DOMINGUEZCredential: SUDCC II
Location Address1133 COLOMA WAY STE CRoseville, CA 95661-4480
Mailing Address1133 Coloma Way Ste CRoseville, CA 95661-4480 · (916) 774-6647
Phone(916) 774-6647
Sole ProprietorNo
Enumeration DateJune 1, 2021
Last NPPES UpdateDecember 1, 20253 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
✔ NPI 1043886054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 20582
1133 COLOMA WAY STE C, Roseville, CA 95661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATIONWIDE MEDICAL GROUP, INC
Clinic/Center (Community Health)
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MR. FESO BENJAMIN MALUFAU JR. B.A. PSYCHOLOGY
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6664
AQUIBI DAVIS
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MS. DORETHA FAYE WILLIAMS-FLOURNOY N/A
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
MICHELLE M. TAGG MSW
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
LINDA GADBOIS
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
JESSICA NYGREN
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6647
ROWENA MIRANDA LOPEZ
Counselor (Addiction (Substance Use Disorder))
1133 COLOMA WAY STE C
ROSEVILLE, CA 95661
Placer County (916) 774-6456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Dominguez's NPI number?

The NPI number for Patricia Dominguez is 1043886054. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Patricia Dominguez located?

Patricia Dominguez practices at 1133 Coloma Way Ste C, Roseville, CA 95661. The listed phone number is (916) 774-6647.

What is Patricia Dominguez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Patricia Dominguez was last updated on December 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.