SAMIRA DOMINGO RN CLC NPI 1922963917

NPI Information

  • NPI: 1922963917
  • Provider Name: SAMIRA DOMINGO, RN, CLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 91-1101 KAIMALIE ST APT 2T2
    EWA BEACH, HI
    ZIP 96706
  • Phone: (916) 743-1005

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NPI Details

Samira Domingo, RN, CLC is a lactation consultant registered nurse in Ewa Beach, HI. Samira Domingo, RN, CLC NPI is 1922963917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

91-1101 KAIMALIE ST APT 2T2
EWA BEACH, HI
ZIP 96706-052
Phone: (916) 743-1005

The enumeration date for this NPI number is 12/22/2025 and was last updated on 12/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant846436CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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