JENNIFER DOMINGUEZ
NPI 1417229899
Peer Specialist in Long Beach, CA
NPI Status: Active since February 01, 2012
Contact Information
2101 MAGNOLIA AVE
LONG BEACH, CA
ZIP 90806
Phone: (562) 218-1868
Fax: (562) 591-0346
- Individual
- Female
- Peer Specialist
About JENNIFER DOMINGUEZ
This page provides the complete NPI Profile along with additional information for Jennifer Dominguez, a provider established in Long Beach, California with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1417229899 assigned on February 2012. The practitioner's primary taxonomy code is 175T00000X with license number MPSS-KYBVEP (CA). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1417229899
- Provider Name
- JENNIFER DOMINGUEZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2101 MAGNOLIA AVE LONG BEACH, CA 90806
- Location Phone
- (562) 218-1868
- Location Fax
- (562) 591-0346
- Mailing Address
- 8407 S VERMONT AVE LOS ANGELES, CA 90044
- Mailing Phone
- (323) 971-1325
- Mailing Fax
- (562) 591-0346
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-01-2012
- Last Update Date
- 04-08-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- MPSS-KYBVEP
- License State
- CA
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 2 | 2 | 9 | 8 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 4 | 2 | 18 | 8 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 4 + 2 + 1 + 8 + 8 + 1 + 8 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1417229899 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1881728467 | ANESHA NAJWA LARRY Individual | Case Manager/Care Coordinator | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1114112471 | ROBIN MARIE MINDNICH Individual | Social Worker | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1194974311 | LARAINE JACKSON Individual | Case Manager/Care Coordinator | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1003237413 | MIRIAM MACIEL MORALES Individual | Specialist | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1861862674 | VANESSA WALER LVN Individual | Licensed Vocational Nurse | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 234-2639 |
| 1518412048 | ROAMELYA FISHER Individual | Counselor | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1710012455 | TARZANA TREATMENT CENTERS, INC. Organization | Substance Abuse Rehabilitation Facility | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (818) 996-1051 |
| 1568795169 | QIANA RISCHAUN LA CROIX Individual | Marriage & Family Therapist | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1316435456 | ALICIA KING CADC-II Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1801374863 | HAZELANN ALEXANDER LVN Individual | Licensed Vocational Nurse | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1285114108 | JUDY ANN DAVIS Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1740764067 | DANNIEL ANN RIVERA Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1265908396 | MRS. TAMMY L. STEWARD-NELSON Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1043878150 | MR. RICHARD HUGHES Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1114574118 | SANTIAGO SANCHEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1033767801 | JAYNA LEA ZIMMELMAN Individual | Substance Abuse Rehabilitation Facility | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1902454093 | SCOTT ANTHONY PERSSON Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1093354029 | TANESHA JOHNSON Individual | Student in an Organized Health Care Education/Training Program | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1356980338 | MS. LATAUSHA WYNONA JONES Individual | Community Health Worker | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (562) 218-1868 |
| 1265058762 | ROBERT GLENN ALVAREZ SR. Individual | Counselor (Addiction (Substance Use Disorder)) | 2101 MAGNOLIA AVE LONG BEACH, CA 90806 (560) 218-1868 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417229899, enumerated in the NPI registry as an "individual" on February 01, 2012
The provider is located at 2101 Magnolia Ave Long Beach, Ca 90806 and the phone number is (562) 218-1868
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
This NPI record was last updated on February 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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