Individual provider Active NPI

Douglas A Webber, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1497783708
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G83278 Issued in CA
Practice address
3171 Los Feliz Blvd
Suite 309
Los Angeles, CA 90039-1527
Phone
(323) 666-6000
Fax
(323) 666-3761
NPI assigned
Jun 28, 2006
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
Internal Medicine Physician 207R00000X G83278 CA Primary

Addresses

Primary practice location

3171 Los Feliz Blvd
Suite 309
Los Angeles, CA 90039-1527

Mailing address

3171 Los Feliz Blvd
Suite 309
Los Angeles, CA 90039-1527
Phone (323) 666-6000

Other identifiers 1

IdentifierTypeStateIssuer
00G832780MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20041217000631 CA Practitioner - Internal Medicine 1951368208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Yale University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3171 Los Feliz Blvd
Suite 309
Los Angeles, CA 90039-1537
Phone (323) 666-6000

Hospital & facility affiliations

  • Mother Theresa Hospice, Inc Hospice, Burbank, CA, CCN 751605
  • Glendale Mem Hospital & HLTH Center Hospital, Glendale, CA, CCN 050058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83278CAMDPharmacist
G83278CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas a. Webber, MD, a Medical Corporation Internal Medicine CurrentSince Apr 18, 2005 Accepting new patients
Dignity Health Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

1141 N Brand Blvd
Ste 202
Glendale, CA 91202
Phone (818) 500-1062

3171 Los Feliz Blvd
Ste 309
Los Angeles, CA 90039
Phone (323) 666-6000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mother Theresas Home Health Care Services IncBurbank, CA, CCN 058224 Home health agency Contracted Managing Employee Oct 1, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497783708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-666-6000",
            "fax_number": "323-666-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-666-6000",
            "fax_number": "323-666-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "DOUGLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.