Organization Active NPI

Douglas Garrison, DO

  • Family Medicine Physician
  • Chico, CA
National Provider Identifier
1427133644
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6292 Issued in CA
Legal business name
DOUGLAS GARRISON, DO
Practice address
1025 Village LN
Chico, CA 95926-2812
Phone
(530) 566-0132
Fax
(530) 566-1682
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Douglas Garrison, DONPI 1386649044
Title
DO, Ceo
Phone
(530) 566-0132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A6292 CA Primary

Addresses

Primary practice location

1025 Village LN
Chico, CA 95926-2812

Mailing address

1025 Village LN
Chico, CA 95926-2812
Phone (530) 566-0132

Other identifiers 2

IdentifierTypeStateIssuer
00AX62920MedicaidCA
DD4269OtherMEDICARE RAILROAD GROUP #

National Provider Directory

National Provider Directory

Locations

1025 Village Ln
Chico, CA 95926
Phone (530) 566-0132

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1427133644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 VILLAGE LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262812",
            "telephone_number": "530-566-0132",
            "fax_number": "530-566-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VILLAGE LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262812",
            "telephone_number": "530-566-0132",
            "fax_number": "530-566-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS GARRISON, DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "DO, CEO",
        "authorized_official_telephone_number": "530-566-0132",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX62920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP #",
            "identifier": "DD4269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.