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

Santa Ann Dominguez, FNP

Individual provider Family Nurse Practitioner · NPI 1396391397

Santa Ann Dominguez, FNP is a Nurse Practitioner in Avalon, California. Qualified in 2019, 7 years ago. Practices with Avalon Medical Development Corporation, a 27-clinician group. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

100 Falls Canyon Rd
Avalon, CA 90704
Phone: (310) 510-0096
Fax: (310) 510-2381
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95012119 (CA)

Record details

NPI number1396391397
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Avalon Medical Development Corporation — 27 clinicians
Accepts Medicare assignment Not indicated

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