Deja Rae Dominguez, LVN is a
Licensed Vocational Nurse based in Goleta, California. Deja Rae Dominguez is licensed to practice in California (license number 273398) and her current practice location is
305 Camino Del Remedio, Goleta, California. She can be reached at her office (for appointments etc.) via phone at
(805) 291-9708.
NPI number for Deja Rae Dominguez is 1629899802 and her current mailing address is 305 Camino Del Remedio, Goleta, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629899802.
Provider's Profile
Full Name | Deja Rae Dominguez |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 305 Camino Del Remedio, Goleta, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629899802
- Provider Enumeration Date: 10/21/2024
- Last Update Date: 10/21/2024
Medical Identifiers
Medical identifiers for Deja Rae Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629899802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 273398 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deja Rae Dominguez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deja Rae Dominguez, LVN 305 Camino Del Remedio, Goleta, CA 93110-1332 Ph: (805) 291-9708 | Deja Rae Dominguez, LVN 305 Camino Del Remedio, Goleta, CA 93110-1332 Ph: (805) 291-9708 |
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