Amanda Kristen Dominguez
Amanda Kristen Dominguez is a Athletic Trainer provider (Specialist/Technologist) practicing in Pacoima, CA, registered in the NPPES registry with NPI 1114596244 since 2021.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114596244 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Amanda Kristen Dominguez |
| Sex | Female |
| Practice address | 11005 NORRIS AVE # 43, Pacoima, CA, 91331 |
| Phone | 8184801144 |
| Enumeration date | 2021-06-22 |
| Last updated in NPPES | 2021-06-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2255A2300X | Athletic Trainer | Primary | 2013 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XEH910101639 | Other | — | BLUE SHIELD |
Copy-ready billing details
Provider: Amanda Dominguez NPI: 1114596244 Taxonomy: 2255A2300X (Athletic Trainer) Address: 11005 NORRIS AVE # 43, Pacoima, CA, 91331
Verify this record
Cross-check NPI 1114596244 against the authoritative CMS record: view Amanda Kristen Dominguez on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-06-22.