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

Vircelito A. Domenden I

Individual provider Rehabilitation Practitioner · NPI 1720633050

Vircelito A. Domenden I is a Rehabilitation Practitioner in San Francisco, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

887 Potrero Ave
San Francisco, CA 94110-2869
Phone: (628) 206-2855
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1720633050
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 5, 2019
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

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