1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Nurse Practitioner
  6. NPI Profile

MARISOL DOMINGUEZ-CLAROS
NPI 1710654124
Nurse Practitioner in Los Angeles, CA

Active since August 24, 2021PECOS Enrolled
1100 N STATE ST, LOS ANGELES, CA 90033(323) 409-1000 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marisol Dominguez-claros NPPES

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

MARISOL DOMINGUEZ-CLAROS (NPI 1710654124) is an individual nurse practitioner in Los Angeles, California, licensed in California (95018052) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1710654124
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARISOL DOMINGUEZ-CLAROS
Location Address1100 N STATE STLos Angeles, CA 90033-5000
Mailing Address6301 Gifford Ave Apt BBell, CA 90201-1685 · (323) 539-0063
Phone(323) 409-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 24, 2021
NPPES CertifiedAugust 24, 2021
✔ NPI 1710654124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95018052
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1100 N STATE ST, Los Angeles, CA 90033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisol Dominguez-claros is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133655061
PECOS Enrollment IDI20241216000859
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.

Medicare Billing Reassignment

Medicare enrollment records show Marisol Dominguez-claros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
9.5 mi
Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1780877613 (310) 668-5201

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

KRISTEN RIVAS
Social Worker (Clinical)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5253
RENE FERNANDEZ-NAVA DO
Pediatrics
1100 N STATE ST, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-6931
ELIZABETH VERGARA JAYME LCSW
Social Worker (Clinical)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-3761
CORAZON SANTARROMANA NEJAL
Registered Nurse (Ambulatory Care)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5442
MRS. INEZ RENA BECKON-ENGLISH
Social Worker (Clinical)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7442
YVONNE DELGADILLO CSW
Social Worker (Clinical)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-5253
JINGTIAN WANG MD
General Acute Care Hospital
1100 N STATE ST, CLINIC TOWER A4E
LOS ANGELES, CA 90033
Los Angeles County (323) 409-4535
NANCY ARELLANO
Registered Nurse (Ambulatory Care)
1100 N STATE ST
LOS ANGELES, CA 90033
Los Angeles County (323) 409-8780

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 Marisol Dominguez-claros's NPI number?

The NPI number for Marisol Dominguez-claros is 1710654124. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Marisol Dominguez-claros located?

Marisol Dominguez-claros practices at 1100 N State St, Los Angeles, CA 90033. The listed phone number is (323) 409-1000.

What is Marisol Dominguez-claros's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marisol Dominguez-claros enrolled in Medicare?

Yes. Marisol Dominguez-claros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisol Dominguez-claros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisol Dominguez-claros reassigns Medicare benefits to County Of Los Angeles (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisol Dominguez-claros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marisol Dominguez-claros was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.