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NPI Code Detail

MEDICARE: ON THE MARGINS, INC.

MEDICARE: ON THE MARGINS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1649115171
Entity Type Code : Organization
Provider Name (Legal Business Name) : ON THE MARGINS, INC.
Provider Business Mailing Address
First Line : 245 KENTUCKY ST STE E
Second Line :
City : PETALUMA
State : CA
Zip : 94952-2877
Country : US
Telephone Number : 415-212-9064
Fax Number :
Provider Business Practice Location Address
First Line : 245 KENTUCKY ST STE E
Second Line :
City : PETALUMA
State : CA
Zip : 94952-2877
Country : US
Telephone Number : 415-212-9064
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. DANIELA DOMINGUEZ
Credential : PSYD
Telephone Number : 415-209-5592
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ON THE MARGINS, INC. ” Practice Location

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