DR. DOUGLAS WAYNE LARSON (NPI# 1801011580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801011580 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS WAYNE LARSON |
| Credential | PH.D. |
| Practice Address |
1430 E Cooley Dr Suite 209 Colton CA 92324-3934 |
| Mailing Address |
11454 Golden Gate Dr Yucaipa CA 92399-9705 |
| Practice Telephone | 9097988999 |
| Mailing Telephone | 9097988999 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY9281 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750444758 | Douglas Keith Larson | Dentist | 42 W Campbell Ave Ste 204, Campbell, CA 95008-1042 | 2006-12-19 |
| 1841265956 | Douglas J. Larson | Chiropractor | 1515 5th Ave, Suite 101, Belle Fourche, SD 57717-6031 | 2006-02-22 |
| 1366432098 | Douglas Marshall Larson | Dentist | 680 Fairmount Ave, Jamestown, NY 14701-2630 | 2005-10-25 |
| 1003064999 | Douglas Glen Larson | Radiology | 2020 Palomino Ln, #100, Las Vegas, NV 89106-4842 | 2008-09-04 |
| 1003028317 | Douglas Frank Larson | Perfusionist | 1501 N Campbell Ave, Suite 4402 Arizona Health Science Center, Tucson, AZ 85724-0001 | 2007-05-07 |
| 1851493670 | Douglas K Larson | Dentist | 300 9th Ave W, Ashland, WI 54806 | 2006-09-02 |
| Street Address |
1430 E COOLEY DR SUITE 209 |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609894781 | Mark Ralph Cox | Marriage & Family Therapist | 1430 E Cooley Dr, Suite 111, Colton, CA 92324-3934 | 2006-07-17 |
| 1942843966 | Enriqueta Little | Case Manager/Care Coordinator | 1430 E Cooley Dr, Colton, CA 92324-3934 | 2019-10-22 |
| 1225582711 | Denise Dugan | Counselor | 1430 E Cooley Dr, 111, Colton, CA 92324-3934 | 2016-08-12 |
| 1952752115 | Evelyn Hedrick | Community Health Worker | 1430 E Cooley Dr, Suite 111, Colton, CA 92324-3934 | 2016-06-28 |
| 1265806897 | Brenda Zaragoza | Community Health Worker | 1430 E Cooley Dr, Ste111, Colton, CA 92324-3934 | 2015-11-19 |
| 1336301514 | Philomina Ogochukwu Walker-nwarueze | Durable Medical Equipment & Medical Supplies | 1430 E Cooley Dr, Suite 200, Colton, CA 92324-3934 | 2008-06-27 |
| 1902079403 | Heather Marshall | Counselor | 1430 E Cooley Dr, Suite 240, Colton, CA 92324-3934 | 2008-04-07 |
| 1821278086 | Marcella Murillo | Hospice Care, Community Based | 1430 E Cooley Dr, Suite 124, Colton, CA 92324-3934 | 2007-11-05 |
| 1780876144 | Patricia M Gatison | Counselor | 1430 E Cooley Dr, Colton, CA 92324 | 2007-08-09 |
| 1962609180 | Lacey Janae Wells | Counselor | 1430 E Cooley Dr, Colton, CA 92324-3934 | 2007-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1063042851 | Making A Difference Association, Inc. | Psychologist | 1430 E Cooley Drive, Ste 111, Colton, CA 92324 | 2020-01-21 |
| 1326685488 | Allstar Medical Respite and Recuperative Care | Case Management | 450 N Sperry Drive, Colton, CA 92324 | 2019-12-06 |
| 1558916379 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1010 North Pepper Ave, Colton, CA 92324 | 2019-08-08 |
| 1326692633 | Kadi Lyn Pearce | Licensed Practical Nurse | 970 N. Latham St, Colton, CA 92324 | 2019-07-25 |
| 1184281966 | Steven Andrew Cardoza | Physician Assistant | Armc, 400 N. Pepper Ave, Colton, CA 92324 | 2019-05-28 |
| 1528540952 | Daniel Tochukwu Umah-mgborogwu | Physician Assistant | 400 N Pepper Ave, Ste 107, Coton, CA 92324 | 2018-09-01 |
| 1255826038 | Cal Med Vascular Center LLC | Clinic/Center | 1281 W C St, Colton, CA 92324 | 2018-06-25 |
| 1891288072 | A. Arroyo Lourenco Dds, Inc | Dentist | 827 W Valley Blvd., Colton, CA 92324 | 2018-06-12 |
| 1700396165 | Emily Covington | Registered Nurse | 1550 E. Washington St., Ste 101, Colton, CA 92324 | 2017-10-11 |
| Find all providers in zip 92324 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518003250 | Cheryl Ann Pfent | Psychologist | 790 Via Lata, Suite 250, Colton, CA 92324-3978 | 2007-01-29 |
| 1700048220 | Anntonette Gonzales Capre | Psychologist | 1330 E Cooley Dr, Colton, CA 92324-3905 | 2008-06-26 |
| 1053580035 | Bethanne M. Fishell | Psychologist | 400 N Pepper Ave, Colton, CA 92324-1801 | 2008-02-25 |
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| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
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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.