Douglas G Hamilton, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

G20987 Issued in CA

Practice address

6325 Topanga Canyon Blvd
301
Woodland Hills, CA 91367-2006

Phone

(818) 884-7150

Fax

(818) 884-1254

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Dermatology

Education

Albany Medical College of Union University, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Douglas G Hamilton Medical Corp

  • Dermatopathology Physician
  • Woodland Hills, CA
  • NPI 1093021495
  Medicare reassignment NPD Authorized official
• California Surgical Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Woodland Hills, CA
  • NPI 1275937344
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497815880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12021 WILSHIRE BLVD",
            "address_2": "#309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251206",
            "telephone_number": "818-884-7150",
            "fax_number": "818-884-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 TOPANGA CANYON BLVD",
            "address_2": "301",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672006",
            "telephone_number": "818-884-7150",
            "fax_number": "818-884-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G20987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ghassan Hallaq
• Halpert Dental X-Ray, Inc.
• Monika Hambardzumyan, LMFT
• Hamid Mirshojae DO Inc.
• Mansoureh Hamidzadeh
• Justin Wade Hamilton, P.T.
• Taharria M. Hamilton
• Carol H Hammill, CRNA
• Alexis Hammonds
• Tathadjia Tamia Hammonds

• Dermatopathology Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Dermatopathology 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.
• 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.