Douglas Eric Garrison, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6292 Issued in CA

Practice address

4911 Warner Ave Ste 205
Huntington Beach, CA 92649-4473

Phone

(714) 316-0611

Fax

(714) 520-0087

NPI assigned

Jun 17, 2005

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: General Practice

Education

Ohio University, College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D E Garrison DO IncGroup PAC ID 4981009974, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• D E Garrison DO Inc

  • Family Medicine Physician
  • Huntington Beach, CA
  • NPI 1811517832
  Medicare reassignment Care Compare group NPD Authorized official
• Douglas Garrison, DO

  • Family Medicine Physician
  • Chico, CA
  • NPI 1427133644
  NPD (past) Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1386649044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "SUNSET BEACH",
            "state": "CA",
            "postal_code": "907420025",
            "telephone_number": "714-316-0611",
            "fax_number": "714-520-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVE STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494473",
            "telephone_number": "714-316-0611",
            "fax_number": "714-520-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "DOUGLAS",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "080175928",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garfield Beach CVS, L.L.C. (CVS Pharmacy # 00819)
• Clarisa Garibay, COTA/L
• Kevin Garner
• Stephanie Garrido
• Caitlin Grace Garrison, PA-C
• Kimberly Garrity
• Lucinda Marie Garton
• Gary Stewart DDS Inc (Harbour Landing Dental and College Street Family Dental Group)
• Gary T. Schmidt, DDS, Inc. (Olive Dental Group)
• Remberto Gascon

• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, 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 Apr 20, 2021; 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.

Verify at the official NPI Registry.