Organization Active NPI

Daubmd Inc

  • Community Health Clinic/Center
  • Santee, CA
National Provider Identifier
1043564198
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DAUBMD INC
Practice address
9460 Cuyamaca St
Suite 104
Santee, CA 92071-5920
Phone
(619) 961-5158
Fax
(619) 312-4335
NPI assigned
Oct 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Douglas M Daub, MDNPI 1831382753
Title
President/Ceo
Phone
(619) 569-1790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

9460 Cuyamaca St
Suite 104
Santee, CA 92071-5920

Mailing address

9460 Cuyamaca St
Suite 104
Santee, CA 92071-5920
Phone (619) 961-5158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000348 CA Part B Supplier - Clinic/Group Practice 1557516309 Receives reassigned benefits from 2 practitioners
Practice locations: Santee, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2056711Daubmd, Inc.9460 Cuyamaca St., #104, Santee, CA 92071Certificate of waiverApr 1, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1043564198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715920",
            "telephone_number": "619-961-5158",
            "fax_number": "619-858-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 CUYAMACA ST",
            "address_2": "SUITE 104",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715920",
            "telephone_number": "619-961-5158",
            "fax_number": "619-312-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAUBMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-27",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "DAUB",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "619-569-1790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.