Donald A Underwood, DO MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A4681 Issued in CA

Practice address

1963 North E Street
San Bernardino, CA 92405-3919

Phone

(909) 881-6146

Fax

(909) 881-0111

NPI assigned

Sep 15, 2006

Sex

Male

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

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

Family Practice

Education

College of Medicine and Surgery, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Behavioral and Health Services IncGroup PAC ID 2769392927, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJAADA

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.

• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1275562969

  CA

  Medicare reassignment Care Compare group NPD
• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Banning, CA
  • NPI 1578823647
  Care Compare group
• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1770263287
  NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598861817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 NORTH E STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053919",
            "telephone_number": "909-881-6146",
            "fax_number": "909-881-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 NORTH E STREET",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053919",
            "telephone_number": "909-881-6146",
            "fax_number": "909-881-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "DONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC70520F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karin Cecilia Ulltjaern, DNP, RN, PMHNP-BC
• Alyssa Kate Ulrich
• Ulta Care Gansert Chiropractic Professional Corporation
• Ultra Health Specialist,Inc.
• Charity Underwood Eshleman, MD
• Michelle Underwood
• Unicare Community Health Center Inc
• Unicare Community Health Center Inc
• Unicare Community Health Center, Inc.
• Unik Care Pharmacy

• All providers in San Bernardino, CA
• Family 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.
• 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.