Organization Active NPI

Dr Julie V Douglass MD Inc.

  • Preferred Provider Organization
  • Torrance, CA
National Provider Identifier
1265912109
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
G067820 Issued in CA
Legal business name
DR JULIE V DOUGLASS MD INC.
Practice address
20911 Earl St Ste 100
Torrance, CA 90503-4354
Phone
(310) 370-8001
Fax
(310) 370-1590
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Rachael I Marquez
Title
Billing Manager
Phone
(310) 370-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X G067820 CA Primary

Addresses

Primary practice location

20911 Earl St Ste 100
Torrance, CA 90503-4354

Mailing address

20911 Earl St Ste 100
Torrance, CA 90503-4354
Phone (310) 370-8001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1265912109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034354",
            "telephone_number": "310-370-8001",
            "fax_number": "310-370-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20911 EARL ST STE 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034354",
            "telephone_number": "310-370-8001",
            "fax_number": "310-370-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JULIE V DOUGLASS MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-370-8001"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "G067820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.