Penny Douthwaite, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G39615 Issued in CA

Practice address

333 N Prairie Ave
Inglewood, CA 90301-4501

Phone

(310) 674-7050

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Freeman Emergency Physicians Medical Group

  • Emergency Medicine Physician
  • Inglewood, CA
  • NPI 1912000936
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437169695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10130",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N PRAIRIE AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014501",
            "telephone_number": "310-674-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUTHWAITE",
        "first_name": "PENNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G39615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G396150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Dominguez
• Domtek Medical&Allied Services Inc
• Frances Donison
• Doris a. Guevara D.D.S., Inc
• Michael Dounel, D.M.D.
• Dr Salina Mah DDS Inc.
• Dr. Campbell's Century Dental
• Dream-Live-Hope Foundation
• DRS Gary L Weiner & Chester N Kaufman
• DRS Siamak Khakshooy and Soheil Vahedi DDS Inc (Aesthetica Dental Group)

• Emergency Medicine Physician in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Emergency Medicine Physician in California

• 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.