DOMINIC MATTHEW ANGEL
NPI 1578315602
Licensed Vocational Nurse in Fresno, CA

Q: What is Dominic Angel's NPI number?

The NPI number for Dominic Angel is 1578315602. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Q: What is Dominic Angel's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Angel was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 April 02, 2024

4411 E CESAR CHAVEZ BLVD, FRESNO, CA 93702(559) 453-1008 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dominic Matthew Angel NPPES

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

DOMINIC MATTHEW ANGEL (NPI 1578315602) is an individual licensed vocational nurse in Fresno, California, licensed in California (741117) and active in the NPI registry since April 2024. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1578315602

Entity TypeIndividualMale

Primary Taxonomy164X00000X

Provider Legal NameDOMINIC MATTHEW ANGEL

Location Address4411 E CESAR CHAVEZ BLVDFresno, CA 93702-3604

Mailing Address3433 W Shaw Ave Ste 108Fresno, CA 93711-3229

Phone(559) 453-1008

Sole ProprietorYes

Enumeration DateApril 2, 2024

Last NPPES UpdateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1578315602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Vocational NurseNursing Service Providers

Taxonomy Code164X00000X

License✔ Licensed in CA · 741117

Definition

A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.

4411 E CESAR CHAVEZ BLVD, Fresno, CA 93702

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Secondary Practice Locations 4

Location 1496 S Barton AveFresno, CA 93702-2985 · Phone (559) 860-4422

Location 23147 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 33133B N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

Location 43127 N Millbrook AveFresno, CA 93703-1425 · Phone (559) 453-1008

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.

OCTAVIANA MARTINEZ

Licensed Vocational Nurse