Individual provider Active NPI

V Douglas Jodoin, MD

  • Family Medicine Physician
  • Rancho Mirage, CA
National Provider Identifier
1225016074
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G40824 Issued in CA
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, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110428000138 CA Practitioner - Family Practice 0446435895 Reassigns benefits to 1 organization

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G40824CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
V Douglas Jodoin MD Inc CurrentSince Nov 17, 2010 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAJIAA/Endpoint/GAJIAA
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.