Active NPI
Dustin Skylar Douros, OTR/L
- Occupational Therapist
- Nevada City, CA
National Provider Identifier
1174381990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 23931
- Practice address
- 400 Hoover LN
Nevada City, CA 95959-2944 - Phone
- (530) 265-0618
- NPI assigned
- Mar 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 23931 | CA | Primary |
Addresses
Primary practice location
400 Hoover LN
Nevada City, CA 95959-2944
Mailing address
1005 Lewis Cir
Santa Cruz, CA 95062-4350
Phone (530) 575-8818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nevada County CCS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Nevada City, CA
- NPI 1376696021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1174381990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 LEWIS CIR",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624350",
"telephone_number": "530-575-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOOVER LN",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959592944",
"telephone_number": "530-265-0618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUROS",
"first_name": "DUSTIN",
"middle_name": "SKYLAR",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-07",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "23931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.