NATHALY CALDERON DOMINGUEZ LMFT
NPI 1801348065
Marriage & Family Therapist in San Diego, CA

Q: What is Nathaly Calderon Dominguez's NPI number?

The NPI number for Nathaly Calderon Dominguez is 1801348065. It was assigned to this individual provider in the NPPES registry on November 3, 2016. The provider is also known as Nathaly Dominguez.

Q: What is Nathaly Calderon Dominguez's specialty?

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

Active since November 03, 2016PECOS EnrolledAccepts Medicare Assignment

9445 FARNHAM ST STE 100, SAN DIEGO, CA 92123(858) 380-4676 Get Directions Write a Review

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

Record update history: Dec 15, 2016, Nov 16, 2016, Nov 3, 2016 (3 updates tracked since 2016).

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About Nathaly Calderon Dominguez Lmft NPPES

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

NATHALY CALDERON DOMINGUEZ LMFT (NPI 1801348065) is an individual marriage & family therapist in San Diego, California, licensed in California (135381) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1801348065

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameNATHALY CALDERON DOMINGUEZCredential: LMFT

Location Address9445 FARNHAM ST STE 100San Diego, CA 92123-1308

Mailing Address11800 Central Ave Ste 225Chino, CA 91710-7201 · (909) 591-5085

Phone(858) 380-4676

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 3, 2016

Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration

NPPES CertifiedFebruary 12, 2024

✔ NPI 1801348065 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 · 135381

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.

9445 FARNHAM ST STE 100, San Diego, CA 92123

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Other Names 1

Former Name (1)Nathaly Dominguez

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathaly Calderon Dominguez Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860925922

PECOS Enrollment IDI20241028002128

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.

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