Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEO ERNIE MANANGAN DOMINGO NP
NPI 1073281754
Nurse Practitioner - Psychiatric/Mental Health in Long Beach, CA

Q: What is Leo Ernie Domingo's NPI number?

The NPI number for Leo Ernie Domingo is 1073281754. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Q: What is Leo Ernie Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Leo Ernie Domingo was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 30, 2021PECOS Enrolled

80.58/100

CMS Quality Rating

5601 ATLANTIC AVE, LONG BEACH, CA 90805(562) 580-0910 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Mar 6, 2024, Sep 28, 2021 (3 updates tracked since 2021).

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About Leo Ernie Manangan Domingo Np NPPES

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

LEO ERNIE MANANGAN DOMINGO NP (NPI 1073281754) is an individual psychiatric/mental health provider in Long Beach, California, licensed in California (95018365) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073281754

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameLEO ERNIE MANANGAN DOMINGOCredential: NP

Location Address5601 ATLANTIC AVELong Beach, CA 90805-4710

Mailing Address929 E 3rd StSanta Ana, CA 92701-4906 · (619) 888-3089

Phone(562) 580-0910

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 30, 2021

Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration

NPPES CertifiedAugust 5, 2026

✔ NPI 1073281754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95018365

Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 827301 (CA)

5601 ATLANTIC AVE, Long Beach, CA 90805

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Leo Ernie Manangan Domingo Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42603862

PECOS Enrollment IDI20220131001023

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

230 services40 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

182 services16 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.86

Improvement Activities

Cost

18.12

Other Providers at the Same Location NPPES

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

H STREET CLINIC

Clinic/Center (Federally Qualified Health Center (FQHC))

5601 ATLANTIC AVE
LONG BEACH, CA 90805

Los Angeles County (562) 580-0910

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 Leo Ernie Domingo's NPI number?

The NPI number for Leo Ernie Domingo is 1073281754. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Leo Ernie Domingo located?

Leo Ernie Domingo practices at 5601 Atlantic Ave, Long Beach, CA 90805. The listed phone number is (562) 580-0910.

What is Leo Ernie Domingo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Leo Ernie Domingo enrolled in Medicare?

Yes. Leo Ernie Domingo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Leo Ernie Domingo was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.