JENIFER ANDREA BANDA DOMINGUEZ
NPI 1730840505
Rehabilitation Practitioner in Rancho Cucamonga, CA

NPI Status: Active since January 04, 2022

Contact Information

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 980-6700

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  • Individual
  • Female
  • Rehabilitation Practitioner

About JENIFER BANDA DOMINGUEZ

This page provides the complete NPI Profile along with additional information for Jenifer Banda Dominguez, a provider established in Rancho Cucamonga, California with a medical specialization in Rehabilitation Practitioner. The healthcare provider is registered in the NPI registry with number 1730840505 assigned on January 2022. The practitioner's primary taxonomy code is 225400000X. The provider is registered as an individual and her NPI record was last updated April 2025.

NPI
1730840505
Provider Name
JENIFER ANDREA BANDA DOMINGUEZ
Gender
Female
Entity Type
Individual
Location Address
9500 HAVEN AVE RANCHO CUCAMONGA, CA 91730
Location Phone
(909) 980-6700
Mailing Address
27261 LAS RAMBLAS STE 220 MISSION VIEJO, CA 92691
Is Sole Proprietor?
Yes
Enumeration Date
01-04-2022
Last Update Date
04-16-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Rehabilitation Practitioner

Taxonomy Code
225400000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2172V00000XOther Service Providers

Community Health Worker

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1730840505
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2760164050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 6 + 4 + 0 + 5 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1730840505 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. LATOYA CARTER M.A

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

JENNIFER L WALTERS

Marriage & Family Therapist

9500 HAVEN AVE
SUITE 200
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 240-2611

MRS. CYNTHIA PINEDA-GONZALEZ LCSW

Counselor

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

LAURA NICOLE ROGERS

Counselor

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

DOMEIQUA D SMOOT

Counselor

9500 HAVEN AVE
100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

MARTIN GARCIA

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE #100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

VIVIAN SORROW

Counselor

(Mental Health)

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

ADRIANA RUIZ

Counselor

(Mental Health)

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

RAYNE EUGENIA BRIDGES

Rehabilitation Practitioner

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

KIMBERLY LIGON M.S.

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

TASHANAYE DUDLEY

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

SARAH MELLON

Counselor

(Mental Health)

9500 HAVEN AVE
STE. 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 204-1542

KAYLEE MEE-ALYSSA CALDERON

Community Health Worker

9500 HAVEN AVE
STE. 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

RENATO E GALES ASW

Social Worker

(Clinical)

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

DANELLE GUADAMUZ

Student in an Organized Health Care Education/Training Program

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 991-4928

MRS. EDNA PEREZ

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

MARTHA MILLEN

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

MIKE DE JESUS

Counselor

(Mental Health)

9500 HAVEN AVE
SUITE100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 980-6700

LARON WILLIAMS

Counselor

9500 HAVEN AVE
SUITE 100
RANCHO CUCAMONGA, CA
ZIP 91730

(909) 809-2957

KRYSTAL DANIELS M.ED.

Counselor

(Mental Health)

9500 HAVEN AVE
RANCHO CUCAMONGA, CA
ZIP 91730

(714) 966-8684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730840505, enumerated in the NPI registry as an "individual" on January 04, 2022

The provider is located at 9500 Haven Ave Rancho Cucamonga, Ca 91730 and the phone number is (909) 980-6700

The provider's speciality is Rehabilitation Practitioner with taxonomy code 225400000X

This NPI record was last updated on January 04, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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