ANGELICA CRISTINA DOMINGUEZ
NPI 1407374614
Marriage & Family Therapist in San Diego, CA

Q: What is Angelica Dominguez's NPI number?

The NPI number for Angelica Dominguez is 1407374614. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Q: What is Angelica Dominguez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since September 07, 2017PECOS Enrolled

402 W BROADWAY STE 400, SAN DIEGO, CA 92101(866) 478-3978(866) 473-0365 Get Directions Write a Review

NPPES record last updated: November 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Angelica Cristina Dominguez NPPES

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

ANGELICA CRISTINA DOMINGUEZ (NPI 1407374614) is an individual marriage & family therapist in San Diego, California, licensed in California (130942) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407374614

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameANGELICA CRISTINA DOMINGUEZ

Location Address402 W BROADWAY STE 400San Diego, CA 92101-3554

Mailing Address4560 Hallmark Pkwy, P.o 9364San Bernardino, CA 92407-1886 · (909) 266-2700

Phone(866) 478-3978

Fax(866) 473-0365

Sole ProprietorNo

Enumeration DateSeptember 7, 2017

Last NPPES UpdateNovember 1, 2025

NPPES CertifiedNovember 1, 2025

✔ NPI 1407374614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 130942

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

402 W BROADWAY STE 400, San Diego, CA 92101

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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)

Angelica Cristina Dominguez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

AMANDA ELIZONDO-FESSLER

Marriage & Family Therapist