What is Ethan Dominguez's NPI number?

Ethan Dominguez's National Provider Identifier (NPI) is 1073213930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Dominguez's specialty?

Ethan Dominguez is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Ethan Dominguez located?

Ethan Dominguez's practice location on file with NPPES is 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824.

What is Ethan Dominguez's phone number?

The practice phone number listed in the NPPES registry for Ethan Dominguez is (310) 945-3350.

Is Ethan Dominguez's NPI active?

Yes — Ethan Dominguez's NPI (1073213930) is active in the NPPES registry as of the last update on 2023-03-08.

IndividualActive

Ethan Dominguez

NPI 1073213930 · Community Health Worker · Culver City, CA

Ethan Dominguez is a Community Health Worker provider in Culver City, CA (NPI 1073213930).

Provider details

NPI number: 1073213930
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(52/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9808 Venice Blvd Ste 700

Culver City, CA 90232-6824

Phone: (310) 945-3350

Street-level locationGet directions

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Mailing address