IVETTE ALEXANDRA DOMINGUEZ
NPI 1922656560
Social Worker - Clinical in North Hollywood, CA

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
12821 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606(818) 432-5025 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2023, Jul 13, 2020, Aug 27, 2019 (3 updates tracked since 2019).

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

NPI1922656560
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameIVETTE ALEXANDRA DOMINGUEZ
Location Address12821 VICTORY BLVDNorth Hollywood, CA 91606-3012
Mailing Address12821 Victory BlvdNorth Hollywood, CA 91606-3012 · (818) 432-5025
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 27, 2019
Last NPPES UpdateMarch 17, 20233 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
NPI 1922656560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 95399
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12821 VICTORY BLVD, North Hollywood, CA 91606

Accepted Insurance

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

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.

PECOS PAC ID9234553306
PECOS Enrollment IDI20200722001088
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.

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.

New Patient
$0.00 typical visit price
range $62.96 – $187.60
Typical copayment $0.00 (range $15.74 – $46.90)
Most-billed visit code NA
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Social Worker
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Social Worker (Clinical)
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Counselor (Mental Health)
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Rehabilitation Practitioner
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Social Worker
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Marriage & Family Therapist
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Marriage & Family Therapist
12821 VICTORY BLVD
NORTH HOLLYWOOD, CA 91606
Marriage & Family Therapist
12821 VICTORY BLVD
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.

What insurance does Ivette Dominguez accept?

Health plans from Providence Health Plan list Ivette Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.