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Active NPI 1114596244 Individual Practitioner Female Practitioner

Amanda Kristen Dominguez

Specialist/Technologist - Athletic Trainer • Pacoima, CA

Professional Overview & Biography Verified Profile Summary

Amanda Dominguez is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Pacoima, CA. Practice services are available at 11005 NORRIS AVE # 43 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11005 Norris Ave # 43

Pacoima, CA 913312501

Telephone 8184801144

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Pacoima, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Pacoima, CA (2626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-22
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License CA 2013

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Shield
XEH910101639

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 22, 2021

NPI status registered as active in NPPES database

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Updated Practice Location June 22, 2021

Registered at 11005 NORRIS AVE # 43, PACOIMA, CA 913312501 (Tel: 8184801144)

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Updated Business Mailing Address June 22, 2021

Registered at 11005 NORRIS AVE # 43, PACOIMA, CA 913312501 (Tel: 8184801144)

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Provider Name / Credentials Updated June 22, 2021

Recorded as AMANDA DOMINGUEZ

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2021

Specialist/Technologist (License #2013 in CA)

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Initial NPI Registration & Enumeration June 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114596244
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2021
Last Update: June 22, 2021
Sole Proprietor: No

Mailing Address

11005 Norris Ave # 43

Pacoima, CA 913312501

Phone: 8184801144

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.