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

Leo Ernie Manangan Domingo, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1073281754

Leo Ernie Manangan Domingo, NP is a Nurse Practitioner in Long Beach, California. Qualified in 2021, 5 years ago. Practices with Advantage Neuropsychiatric Assoc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5601 Atlantic Ave
Long Beach, CA 90805-4710
Phone: (562) 580-0910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95018365 (CA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 827301 (CA)

Record details

NPI number1073281754
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advantage Neuropsychiatric Assoc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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