Raymond S Douglas, MD, PHD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A77544 Issued in CA

Practice address

9675 Brighton Way Ste 410
Beverly Hills, CA 90210-5192

Phone

(310) 363-8757

Fax

(310) 363-8758

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 enrollments

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 2

Specialty

Ophthalmology

Education

Perelman School of Med at the University of Pennsylvania, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Health IV Clinic PCGroup PAC ID 0941668057, shared by 7 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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.

• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
  • NPI 1386343580
  Medicare reassignment NPD Authorized official
• Raymond Douglas, M.D., PHD a Professional Corporation

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1538901830
  Medicare reassignment NPD Authorized official
• Raymond Douglas, M.D., PHD a Professional Corporation

  • Ophthalmology Physician
  • Beverly Hills, CA
  • NPI 1437773520
  Medicare reassignment NPD
• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1861182867
  Medicare reassignment NPD
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Sherman Oaks, CA
  • NPI 1497615686
  NPD Authorized official
• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Newport Beach, CA
  • NPI 1669211207
  NPD Authorized official
• Thrive Health Medical Services PC

  • Multi-Specialty Clinic/Center
  • North Syracuse, NY
  • NPI 1144044496
  NPD Authorized official
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Rancho Palos Verdes, CA
  • NPI 1043193972
  NPD (past) Authorized official
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Santa Monica, CA
  • NPI 1154204089
  NPD (past) Authorized official
• Thrive Health IV Clinic PC

  • Multi-Specialty Clinic/Center
  • Beverly Hills, CA
  • NPI 1982587804
  NPD (past) Authorized official
• Thrive Health IV Clinic PC

  • Infusion Therapy Clinic/Center
  • Miami Beach, FL
  • NPI 1164356929
  NPD (past) Authorized official
• Thrive Health IV Clinic, P.C.

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1083314744
  NPD (past) Authorized official

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1124041959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 BRIGHTON WAY STE 410",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105192",
            "telephone_number": "310-363-8757",
            "fax_number": "310-363-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "RAYMOND",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A77544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A775440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Paula Dorne, DNP PMHNP
• Dorothy H. Lowe, M.D. a Medical Corporation
• Pradip Doshi, D.D.S.
• Vidhi Doshi, M.D.
• Wendy Doucette, PSYD, LCSW
• Alan Downs, PH.D.
• Dr Jason Plastic Surgery Inc
• Dr Julia Turetskaya Psychological Services PC
• Dr Kriya Incorporated
• Dr Michael Feiz

• Ophthalmology Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.