Individual provider Active NPI

Douglas Edward Engquist, OTR

  • Pediatric Occupational Therapist
  • Escondido, CA
National Provider Identifier
1376671446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
3085 Issued in CA
Practice address
420 Falconer Rd
Escondido, CA 92027-5331
Phone
(760) 432-2296
Fax
(760) 432-9419
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 3085 CA Primary

Addresses

Primary practice location

420 Falconer Rd
Escondido, CA 92027-5331

Mailing address

30834 Hillview Dr
Valley Center, CA 92082-3433
Phone (760) 751-1172

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

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376671446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30834 HILLVIEW DR",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920823433",
            "telephone_number": "760-751-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 FALCONER RD",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920275331",
            "telephone_number": "760-432-2296",
            "fax_number": "760-432-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGQUIST",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "3085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.