Individual provider Active NPI

Thomas Edward Dougan, MD

  • Internal Medicine Physician
  • Plumas Lake, CA
National Provider Identifier
1548900434
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A204948 Issued in CA
Practice address
2299 River Oaks Blvd
Plumas Lake, CA 95961-9194
Phone
(530) 772-5801
Fax
(530) 772-5807
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A204948 CA Primary

Addresses

Primary practice location

2299 River Oaks Blvd
Plumas Lake, CA 95961-9194

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Other practice location 1

37595 7 Mile Rd Ste 340
Livonia, MI 48152-1003
Phone (734) 793-2470

Other practice location 2

460 Plumas Blvd
Yuba City, CA 95991-5005
Phone (530) 741-1300

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
I20251211003766 CA Practitioner - Internal Medicine 6800276908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

16911 Willow Glen Rd
Brownsville, CA 95919-9707
Phone (530) 675-2457

2800 L St
Sacramento, CA 95816-5616

440 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3409

444 Plumas Blvd
Yuba City, CA 95991-5071
Phone (530) 749-3420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A204948CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Multi-Specialty Current Accepting new patients
Sutter Valley Medical Foundation Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2299 River Oaks Blvd
Plumas Lake, CA 95961
Phone (530) 772-5801

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

460 Plumas Blvd
Yuba City, CA 95991
Phone (530) 749-3370

Interoperability endpoints

  • Direct secure messaging: tdougan754128@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1548900434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 RIVER OAKS BLVD",
            "city": "PLUMAS LAKE",
            "state": "CA",
            "postal_code": "959619194",
            "telephone_number": "530-772-5801",
            "fax_number": "530-772-5807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37595 7 Mile Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481521003",
            "country_code": "US",
            "telephone_number": "734-793-2470",
            "fax_number": "734-793-2471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 Plumas Blvd",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959915005",
            "country_code": "US",
            "telephone_number": "530-741-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A204948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumas Lake, CA

Sources for this page

Verify at the official NPI Registry.