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

KATHERINE DI DOMENICO NP
NPI 1225926769
Nurse Practitioner - Family in Westlake Village, CA

Q: What is Katherine Di Domenico's NPI number?

The NPI number for Katherine Di Domenico is 1225926769. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Q: What is Katherine Di Domenico's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 24, 2025PECOS Enrolled

2625 TOWNSGATE RD STE 330, WESTLAKE VILLAGE, CA 91361(818) 575-6211 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Jun 24, 2025 (2 updates tracked since 2025).

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About Katherine Di Domenico Np NPPES

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

KATHERINE DI DOMENICO NP (NPI 1225926769) is an individual family provider in Westlake Village, California, licensed in California (95030489) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1225926769

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE DI DOMENICOCredential: NP

Location Address2625 TOWNSGATE RD STE 330Westlake Village, CA 91361-5749

Mailing Address2625 Townsgate Rd Ste 330Westlake Village, CA 91361-5749

Phone(818) 575-6211

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 24, 2025

Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration

NPPES CertifiedAugust 13, 2026

✔ NPI 1225926769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95030489

2625 TOWNSGATE RD STE 330, Westlake Village, CA 91361

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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 (PECOS)

Katherine Di Domenico Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385138882

PECOS Enrollment IDI20251211002548

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91361 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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.

Other Providers at the Same Location NPPES 7

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

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