Active NPI
V Douglas Jodoin, MD
- Family Medicine Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G40824
- Practice address
- 39000 Bob Hope Dr
W208
Rancho Mirage, CA 92270-3221 - Phone
- (760) 773-3950
- Fax
- (760) 779-8639
- NPI assigned
- Jan 3, 2006
- Last updated
- Dec 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40824 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
W208
Rancho Mirage, CA 92270-3221
Mailing address
39000 Bob Hope Dr
W208
Rancho Mirage, CA 92270
Phone (760) 773-3950
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rutgers New Jersey Medical School, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39000 Bob Hope Dr
Suite K112
Rancho Mirage, CA 92270-7008
Phone (760) 773-3950
Hospital & facility affiliations
- Alliance Home Health Group
- Reliance Hospice, Inc
- Eisenhower Medical Center
- Sharp Coronado Hospital and Hlthcr Ctr
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40824 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| V Douglas Jodoin MD Inc | Current | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
39000 Bob Hope Dr
Ste K112
Rancho Mirage, CA 92270
Phone (760) 773-3950
39000 Bob Hope Dr
Ste W208
Rancho Mirage, CA 92270
Phone (619) 568-9831
72301 Country Club Dr
Ste 106
Rancho Mirage, CA 92270
Phone (760) 346-5055
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAJIAA/Endpoint/GAJIAA
- vdouglas.jodoin@jmi.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Rancho Mirage, CA
- NPI 1689885402
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
dba Alliance Home Health Group
- Home Health Agency
- Woodland Hills, CA
- NPI 1730788001
-
- Community Based Hospice Care Agency
- Palm Desert, CA
- NPI 1336581701
-
dba Sharp Coronado Hospital
- General Acute Care Hospital
- Coronado, CA
- NPI 1154304475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1225016074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "W208",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "92270",
"telephone_number": "760-773-3950",
"fax_number": "760-779-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"address_2": "W208",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703221",
"telephone_number": "760-773-3950",
"fax_number": "760-779-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JODOIN",
"first_name": "V DOUGLAS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G40824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Jeralyn Brossfield M.D., a Professional Corporation
- Jherndons LLC (Addiction Therapeutic Services)
- Delvis Jimenez
- Jochen Medical Weight Loss, Apc (Medi-Weightloss Rancho Mirage)
- Timothy Mark Jochen, MD
- Megan Kaur Johal, MD
- John G.O. Miller, PHD, M.D., a Professional Corporation
- John Hodgkinson, Inc.
- John J Lee MD a Professional Corporation
- John R Faulkner Medical Doctor PC Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.