Jennifer Wood Doumas, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A5707 Issued in CA

Practice address

10538 Mission Gorge Rd
Ste 100
Santee, CA 92071-3154

Phone

(619) 456-0033

Fax

(619) 456-0095

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137
  Medicare reassignment Care Compare group NPD
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Granada Hills, CA
  • NPI 1043667660
  NPD
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1992237127
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1124038328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10538 MISSION GORGE RD",
            "address_2": "STE 100",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713154",
            "telephone_number": "619-456-0033",
            "fax_number": "619-456-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10538 MISSION GORGE RD",
            "address_2": "STE 100",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713154",
            "telephone_number": "619-456-0033",
            "fax_number": "619-456-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMAS",
        "first_name": "JENNIFER",
        "middle_name": "WOOD",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A5707",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX57070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emelinda D Dizon
• Eunice Domingo, RN
• Helen Dong, PHARMD
• Jessica A Doran, MS OTR/L
• Douglas J. Fossett, DDS
• Jennifer C. Dowd, BT
• Dowdy Dental Anesthesia Group, Inc
• Dr Halyna West Inc
• Dr Mary Thomas, a Professional Dental Corporation
• Dr. Monvelea Makor, O.D. Professional Corporation

• Family Medicine Physician in Santee, CA
• Providers in Santee, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.