Individual provider Active NPI

Geraldina P Douglas, NP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1598965741
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11600 Issued in CA
Practice address
101 The City Dr S
Orange, CA 92868-3201
Phone
(714) 456-8068
Fax
(714) 456-3765
NPI assigned
Jul 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11600 CA
Registered Nurse 163W00000X 445140 CA
Family Nurse Practitioner 363LF0000X 11600 CA Primary

Addresses

Primary practice location

101 The City Dr S
Orange, CA 92868-3201

Mailing address

200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986

Other practice location 1

1401 W 1st St Ste 101
Santa Ana, CA 92703-3757
Phone (714) 542-9700

Other practice location 2

660 Baker St Ste A102
Costa Mesa, CA 92626-4407
Phone (714) 668-2505

Other practice location 3

4950 Barranca Pkwy Ste 104
Irvine, CA 92604-8644
Phone (949) 857-1248

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121001036 CA Practitioner - Nurse Practitioner 4082633805 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorialcare Medical FoundationGroup PAC ID 8729277314, 555 clinicians
Coastal Family Medicine IncGroup PAC ID 4587678065, 35 clinicians

Practice addresses (Care Compare)

14150 Culver Dr
Suite 100
Irvine, CA 92604-0322
Phone (949) 552-4584

15464 Goldenwest St
Westminster, CA 92683-6149
Phone (714) 891-9008

2110 N Bellflower Blvd
Long Beach, CA 90815-3126
Phone (562) 346-2222

4950 Barranca Pkwy
Suite 104
Irvine, CA 92604-8644
Phone (949) 857-1248

660 Baker St
Suite A102
Costa Mesa, CA 92626-4407
Phone (714) 668-2505

722 Baker St
Costa Mesa, CA 92626-4320
Phone (714) 557-6300

9122 Adams Ave
Huntington Beach, CA 92646-3405
Phone (714) 378-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
445140CAMDRegistered Nurse
11600CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uci Department of Urology CurrentSince Sep 20, 2018 Accepting new patients
Regents of the University of California CurrentSince Mar 1, 2016 Accepting new patients
Regents of the University of CurrentSince Nov 25, 2019 Accepting new patients
Memorialcare Medical Foundation Nurse Practitioner CurrentSince Dec 12, 2025 Accepting new patients
University Surgeons of Orange a Medical Group CurrentSince Jul 1, 2005 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
Advance Urgent Medical Group Inc PastSince Jun 1, 2016 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

660 Baker St
Ste A102
Costa Mesa, CA 92626
Phone (714) 668-2505

17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592

4950 Barranca Pkwy
Ste 104
Irvine, CA 92604
Phone (949) 857-1248

4950 Barranca Pkwy
Ste 103
Irvine, CA 92604
Phone (949) 552-2700

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

200 S Manchester Ave
Ste 300
Orange, CA 92868
Phone (714) 424-9001

Interoperability endpoints

  • Direct secure messaging: geraldina.douglasnp.p7@direct.nautilus.nextgenshare.com

Organizations & group practices 9

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1598965741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MANCHESTER AVE STE 300",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683219",
            "telephone_number": "714-456-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DR S",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-8068",
            "fax_number": "714-456-3765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W 1st St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927033757",
            "country_code": "US",
            "telephone_number": "714-542-9700",
            "fax_number": "714-542-9708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Baker St Ste A102",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264407",
            "country_code": "US",
            "telephone_number": "714-668-2505",
            "fax_number": "714-668-2515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 Barranca Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926048644",
            "country_code": "US",
            "telephone_number": "949-857-1248",
            "fax_number": "949-559-1165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "GERALDINA",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "11600",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "445140",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "11600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.