Beverly Dovan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

21599 Issued in CA

Practice address

1040 Tierra del Rey Ste 107
Chula Vista, CA 91910-7865

Phone

(619) 500-5884

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1013514512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 PAVLOV AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921223710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 TIERRA DEL REY STE 107",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107865",
            "telephone_number": "619-500-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVAN",
        "first_name": "BEVERLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "21599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea M Douglas, P.T.
• Faith Cobar Douglas, FNP
• Howard Anthony Douglas
• Mayumi Yamanaka Douglass
• Heather Doulaki, PA-C
• Jillian Downing, RN
• Christine Anne Dozier
• Dr Golpa-Dental Implant Specialists of California PC
• Dr Solis Optometry Corp
• Dr. Brittany Voelker Psychological Services, a Professional Corporation

• Occupational Therapist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.