Active NPI
Christopher David Doan
- Physician Assistant
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63135
- Practice address
- 36485 Inland Valley Dr
Wildomar, CA 92595-9681 - Phone
- (951) 677-1111
- NPI assigned
- May 13, 2021
- Last updated
- Aug 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63135 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
36485 Inland Valley Dr
Wildomar, CA 92595-9681
Mailing address
38225 Encanto Rd
Murrieta, CA 92563-3210
Phone (951) 834-4445
Other practice location 1
1310 Club Dr
Vallejo, CA 94592-1187
Phone (707) 638-5809
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Terracina Blvd
Suite 102
Redlands, CA 92373-4865
Phone (909) 406-2671
7000 Boulder Ave
Suite 103
Highland, CA 92346-3348
Phone (515) 441-6271
839 Highland Springs Ave
Suite 101
Beaumont, CA 92223-5767
Phone (951) 521-1580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63135 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exer Medical Corporation | Current | Accepting new patients |
Locations
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
Organizations & group practices 1
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.
-
dba Exer Urgent Care
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1518531698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38225 ENCANTO RD",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925633210",
"telephone_number": "951-834-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36485 INLAND VALLEY DR",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959681",
"telephone_number": "951-677-1111"
}
],
"practiceLocations": [
{
"address_1": "1310 Club Dr",
"address_purpose": "LOCATION",
"city": "Vallejo",
"state": "CA",
"postal_code": "945921187",
"country_code": "US",
"telephone_number": "707-638-5809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOAN",
"first_name": "CHRISTOPHER",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-13",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63135",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.