JENNIFER WOOD DOUMAS (NPI# 1124038328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124038328 |
| Entity Type | Individual |
| Full Name | JENNIFER WOOD DOUMAS |
| Credential | D.O. |
| Practice Address |
10538 Mission Gorge Rd Ste 100 Santee CA 92071-3154 |
| Practice Telephone | 6194560033 |
| Practice Fax Number | 6194560095 |
| Mailing Telephone | 6194560033 |
| Mailing Fax Number | 6194560095 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 20A5707 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 20A5707 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00AX57070 | 05 |
| Street Address |
10538 MISSION GORGE RD STE 100 |
| City | SANTEE |
| State | CA |
| Zip Code | 92071-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093089872 | Michael Anthony Feroli | Physician Assistant | 10538 Mission Gorge Rd, Suite 100, Santee, CA 92071-3154 | 2012-02-27 |
| 1831473883 | Physiotherapy Associates, Inc. | Clinic/Center | 10538 Mission Gorge Rd, Suite 110, Santee, CA 92701 | 2011-10-07 |
| 1396058137 | Somagen Healthcare Inc | Clinic/Center | 10538 Mission Gorge Rd, Suite 100, Santee, CA 92071-3154 | 2010-07-21 |
| 1861590747 | Heather Onate | Physical Therapist | 10538 Mission Gorge Rd, Suite 120, Santee, CA 92071-3154 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277307 | Sjc Management and Consulting Corp | Pharmacy | 300 Lantern Crest Way Ste A, Santee, CA 92071 | 2020-05-27 |
| 1225662596 | Sharp Healthcare | Pharmacy | 8701 Cuyamaca Street, Santee, CA 92071 | 2020-02-26 |
| 1962975920 | Santee Community Pharmacy, Inc. | Pharmacy | 9836 Magnolia Ave., Santee, CA 92071 | 2019-01-02 |
| 1073095428 | Rohshana Plunkett | Dental Assistant | 9717 Mission Gorge Rd, Santee, CA 92071 | 2018-09-02 |
| 1285144071 | Victoria Koci | Behavioral Analyst | 10636 Queen Jessica Ln, Santee, CA 92071 | 2017-10-05 |
| 1699214478 | Glenn C. Ashmore Dds, Inc. | Dentist | 9480 Cuyamaca Street, San Diego, CA 92071 | 2017-02-14 |
| 1609328517 | Daniel Burciaga | Specialist/Technologist | 9915 N Magnolia Ave, Santee, CA 92071 | 2016-10-26 |
| 1861940355 | Carlos Garcia Jr. | Technician, Other | 10445 Mast Blvd # 11, Santee, CA 92071 | 2016-09-14 |
| 1962855205 | Universal Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 10020 Prospect Ave Ste A1, Santee, CA 92071 | 2016-07-22 |
| 1568871861 | Mark Adam Frens | Physical Therapist | 9236 Lapeer Ct, Santee, CA 92071 | 2014-08-12 |
| Find all providers in zip 92071 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043497316 | Adema Family Medicine, Inc | Family Medicine | 10201 Mission Gorge Rd Ste C, Santee, CA 92071-3026 | 2008-01-29 |
| 1831382753 | Douglas M Daub | Family Medicine | 9460 Cuyamaca St, Suite 104, Santee, CA 92071-5921 | 2007-08-23 |
| 1497841498 | Garry E Goldfarb | Family Medicine | 278 Town Center Parkway, Santee, CA 92071 | 2006-10-05 |
| 1699874826 | Bruce K Hoang | Family Medicine | 9745 Prospect Avenue, Suite 100, Santee, CA 92071 | 2006-09-22 |
| 1932215092 | Noah Compton Johnson | Family Medicine | 10158 Buena Vista Avenue, Santee, CA 92071 | 2006-08-22 |
| 1811945611 | Hoe Le | Family Medicine | 9225 Carlton Hills Blvd Ste 4, Santee, CA 92071-7901 | 2006-05-04 |
| 1790758506 | Blaine Alsin Fowler | Family Medicine | 8071 Cuyamaca St, Santee, CA 92071 | 2006-02-10 |
| 1750364386 | Luzviminda Dulnuan Saidro | Family Medicine | 10538 Mission Gorge Rd Ste 100, Santee, CA 92071-3154 | 2005-11-29 |
| 1104822022 | Wendy Susan Dengerink | Family Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2005-06-24 |
| 1477089175 | Kathleen Rachelle Outcalt | Family Medicine | 8701 Cuyamaca St, Santee, CA 92071 | 2017-05-02 |
| Find all providers in SANTEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.