Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivan Dominguez

Individual provider Driver · NPI 1629814116

Ivan Dominguez is a Driver in El Dorado Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

824 Mount Ranier Way
El Dorado Hills, CA 95762-4449
Phone: (818) 519-3699
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence D5281191 (CA)

Record details

NPI number1629814116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024
Mailing address824 Mount Ranier Way, El Dorado Hills, CA 95762-4449

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