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IVAN DOMINGUEZ
NPI 1629814116
Driver in El Dorado Hills, CA

Active since July 03, 2024
824 MOUNT RANIER WAY, EL DORADO HILLS, CA 95762(818) 519-3699 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Jul 3, 2024 (2 updates tracked since 2024).

About Ivan Dominguez NPPES

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

IVAN DOMINGUEZ (NPI 1629814116) is an individual driver provider in El Dorado Hills, California, licensed in California (D5281191) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1629814116
Entity TypeIndividualMale
Primary Taxonomy172A00000X
Provider Legal NameIVAN DOMINGUEZ
Location Address824 MOUNT RANIER WAYEl Dorado Hills, CA 95762-4449
Mailing Address824 Mount Ranier WayEl Dorado Hills, CA 95762-4449 · (818) 519-3699
Phone(818) 519-3699
Sole ProprietorYes
Enumeration DateJuly 3, 2024
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1629814116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
License✔ Licensed in CA · D5281191
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
824 MOUNT RANIER WAY, El Dorado Hills, CA 95762
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Other Providers at the Same Location NPPES

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

GOLDEN AGE TRANSPORTATION LLC
Non-emergency Medical Transport (VAN)
824 MOUNT RANIER WAY
EL DORADO HILLS, CA 95762
El Dorado County (818) 519-3699

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 Ivan Dominguez's NPI number?

The NPI number for Ivan Dominguez is 1629814116. It was assigned to this individual provider in the NPPES registry on July 3, 2024.

Where is Ivan Dominguez located?

Ivan Dominguez practices at 824 Mount Ranier Way, El Dorado Hills, CA 95762. The listed phone number is (818) 519-3699.

What is Ivan Dominguez's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Ivan Dominguez was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.