DOMINIQUE SANDERS PMHNP, RN, MSN
NPI 1659785020
Nurse Practitioner - Psychiatric/Mental Health in Rancho Cucamonga, CA

Q: What is Dominique Sanders's NPI number?

The NPI number for Dominique Sanders is 1659785020. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Q: What is Dominique Sanders's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Dominique Sanders was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 13, 2014PECOS Enrolled

9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730(725) 234-2215(281) 954-0056 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 16, 2021, Dec 3, 2019, Mar 10, 2019 (3 updates tracked since 2019).

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About Dominique Sanders Pmhnp, Rn, Msn NPPES

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

DOMINIQUE SANDERS PMHNP, RN, MSN (NPI 1659785020) is an individual psychiatric/mental health provider in Rancho Cucamonga, California, licensed in California (95011218) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1659785020

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDOMINIQUE SANDERSCredential: PMHNP, RN, MSN

Location Address9431 HAVEN AVE STE 100Rancho Cucamonga, CA 91730-5879

Mailing Address9431 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5879 · (725) 234-2215 · Fax (281) 954-0056

Phone(725) 234-2215

Fax(281) 954-0056

Sole ProprietorNo

Enumeration DateJune 13, 2014

Last NPPES UpdateSeptember 16, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2021

✔ NPI 1659785020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95011218

Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 828301 (CA)

9431 HAVEN AVE STE 100, Rancho Cucamonga, CA 91730

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Secondary Practice Locations 2

Location 11515 N Sunrise WayPalm Springs, CA 92262-5398 · Phone (760) 778-2236

Location 21180 N Town Center Dr Ste 100Las Vegas, NV 89144-6308 · Phone (725) 234-2215 · Fax (281) 954-0056

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, BridgeSpan Health Company, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominique Sanders Pmhnp, Rn, Msn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

JOHANNA PADILLA BEHAVIOR TECHNICIAN

Behavior Technician