ROBERTO DOMINGUEZ MFT
NPI 1770772121
Marriage & Family Therapist in Los Angeles, CA

Q: What is Roberto Dominguez's NPI number?

The NPI number for Roberto Dominguez is 1770772121. It was assigned to this individual provider in the NPPES registry on October 22, 2007.

Q: What is Roberto Dominguez's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Roberto Dominguez was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 October 22, 2007PECOS Enrolled

1774 ZONAL AVE BLDG C, LOS ANGELES, CA 90033(310) 221-6336 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roberto Dominguez Mft NPPES

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

ROBERTO DOMINGUEZ MFT (NPI 1770772121) is an individual marriage & family therapist in Los Angeles, California, licensed in California (77649) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770772121

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameROBERTO DOMINGUEZCredential: MFT

Location Address1774 ZONAL AVE BLDG CLos Angeles, CA 90033-1064

Mailing Address1774 Zonal Ave Bldg CLos Angeles, CA 90033-1064 · (310) 221-6336

Phone(310) 221-6336

Sole ProprietorNo

Enumeration DateOctober 22, 2007

Last NPPES UpdateSeptember 10, 2024

NPPES CertifiedSeptember 10, 2024

✔ NPI 1770772121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 77649

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1774 ZONAL AVE BLDG C, Los Angeles, CA 90033

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roberto Dominguez Mft 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.

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.

CRYSTAL SORIA

Counselor (Professional)