Active NPI
Daubmd Inc
- Community Health Clinic/Center
- Santee, CA
National Provider Identifier
1043564198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas M Daub, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2056711 | Daubmd, Inc. | Certificate of waiver | Apr 1, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Santee, CA
- NPI 1831382753
-
- Physician Assistant
- Santee, CA
- NPI 1699512590
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.