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AMANDA ANTOINETTE DOMINGUEZ PA-C
NPI 1265059307
Physician Assistant - Medical in Westlake Village, CA

Active since July 05, 2020
1240 S WESTLAKE BLVD STE 205, WESTLAKE VILLAGE, CA 91361(805) 495-0551 Get Directions Write a Review

NPPES record last updated: July 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Antoinette Dominguez Pa-c NPPES

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

AMANDA ANTOINETTE DOMINGUEZ PA-C (NPI 1265059307) is an individual medical provider in Westlake Village, California, licensed in California (PA17489) and active in the NPI registry since July 2020. She maintains a secondary practice location in Moorpark.

NPPES Registry Identity

NPI1265059307
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA ANTOINETTE DOMINGUEZCredential: PA-C
Location Address1240 S WESTLAKE BLVD STE 205Westlake Village, CA 91361-1992
Mailing Address6584 Pinnacle CtMoorpark, CA 93021-1272 · (310) 270-3716
Phone(805) 495-0551
Sole ProprietorNo
Enumeration DateJuly 5, 2020
NPPES CertifiedJuly 5, 2020
✔ NPI 1265059307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA17489
1240 S WESTLAKE BLVD STE 205, Westlake Village, CA 91361
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Other Names 1

Professional Name (2)Amanda Antoinette Jensen Pa-c

Secondary Practice Location 1

Location 1301 Science Dr Ste 280Moorpark, CA 93021-0803 · Phone (805) 530-7110

Other Providers at the Same Location NPPES 6

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

MISS YASAMINE CURRIE P.A.-C
Physician Assistant
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
INTEGRATED DERMATOLOGY OF WESTLAKE VILLAGE, PC
Dermatology
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
SIMONE NICOLE BOECKMANN MONTGOMERY MD, MPH
Dermatology
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
DR. PARTIK SINGH MD
Dermatology (MOHS-Micrographic Surgery)
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551
ASC CA LLC
Clinic/Center (Ambulatory Surgical)
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (586) 498-9440
JARED MICHAEL GORTER
Physician Assistant
1240 S WESTLAKE BLVD STE 205
WESTLAKE VILLAGE, CA 91361
Los Angeles County (805) 495-0551

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 Amanda Dominguez's NPI number?

The NPI number for Amanda Dominguez is 1265059307. It was assigned to this individual provider in the NPPES registry on July 5, 2020. The provider is also known as Amanda Antoinette Jensen Pa-C.

Where is Amanda Dominguez located?

Amanda Dominguez practices at 1240 S Westlake Blvd Ste 205, Westlake Village, CA 91361. The listed phone number is (805) 495-0551.

What is Amanda Dominguez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Amanda Dominguez was last updated on July 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.