IVETTE ALEXANDRA DOMINGUEZ
NPI 1922656560
Social Worker - Clinical in North Hollywood, CA
About Ivette Alexandra Dominguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVETTE ALEXANDRA DOMINGUEZ (NPI 1922656560) is an individual clinical provider in North Hollywood, California, licensed in California (95399) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ivette Alexandra Dominguez 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.
Medicare Billing Reassignment
Medicare enrollment records show Ivette Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90035
- Reassigned Medicare billing, California enrollment
- 19 clinicians in this Medicare group
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 91606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VALLEY GLEN, CA 91606
NORTH HOLLYWOOD, CA 91606
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 Ivette Dominguez's NPI number?
The NPI number for Ivette Dominguez is 1922656560. It was assigned to this individual provider in the NPPES registry on August 27, 2019.
Where is Ivette Dominguez located?
Ivette Dominguez practices at 12821 Victory Blvd, North Hollywood, CA 91606. The listed phone number is (818) 432-5025.
What is Ivette Dominguez's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ivette Dominguez enrolled in Medicare?
Yes. Ivette Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ivette Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivette Dominguez reassigns Medicare benefits to Jewish Family Service 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 Ivette Dominguez'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 Ivette Dominguez was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ivette Alexandra Dominguez · NPI 1922656560
Clinical provider in North Hollywood, California. Individual provider, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1922656560 (Entity type: Individual)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 95399 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12821 VICTORY BLVD, North Hollywood, CA 91606-3012
- **Phone:** (818) 432-5025
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jewish Family Service Of Los Angeles (NPI 1144244591, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922656560) · Data from the CMS NPPES public registry.