Donald D Doty

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G06093 Issued in CA

Legal business name

DONALD D DOTY

Practice address

29099 Hospital Rd
Ste 112
Lake Arrowhead, CA 92352

Phone

(909) 337-3661

Fax

(909) 337-3570

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Doanld Dean Doty, MD

Title

Owner/President

Phone

(909) 337-3661

Specialties & licenses 1

Addresses

Other names 1

• Doty Family Medical Doing business as

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1376781682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923170773",
            "telephone_number": "909-337-3661",
            "fax_number": "909-337-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29099 HOSPITAL RD",
            "address_2": "STE 112",
            "city": "LAKE ARROWHEAD",
            "state": "CA",
            "postal_code": "92352",
            "telephone_number": "909-337-3661",
            "fax_number": "909-337-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD D DOTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "DOTY",
        "authorized_official_first_name": "DOANLD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "909-337-3661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G06093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doty Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Behavioral Health, Inc.
• Henry D'Antonio, O.D.
• Cynthia Phuongnhi Dam, PHARMD, RPH
• Frances Lodge Davis, NPC
• William Henry Deschner, M.D.
• Donald D. Doty, M.D.
• Virginia (Ginny) Dern Dunn, DPT
• Elite Hospitalist Medical Group, Inc.
• Marguerita Reyes Eno, CCC-SLP
• Laurie Kathleen Everett, P.T.

• Family Medicine Physician in Lake Arrowhead, CA
• Providers in Lake Arrowhead, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.