Active NPI
Walter Ross Dugger, M.D.
- Family Medicine Physician
- Camarillo, CA
National Provider Identifier
1609922541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G63647
- Practice address
- 4934 Verdugo Way
Camarillo, CA 93012-8631 - Phone
- (805) 484-0095
- Fax
- (805) 388-2174
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G63647 | CA | Primary |
Addresses
Primary practice location
4934 Verdugo Way
Camarillo, CA 93012-8631
Mailing address
4934 Verdugo Way
Camarillo, CA 93012-8631
Phone (805) 484-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285027200000",
"number": "1609922541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4934 VERDUGO WAY",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128631",
"telephone_number": "805-484-0095",
"fax_number": "805-388-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4934 VERDUGO WAY",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128631",
"telephone_number": "805-484-0095",
"fax_number": "805-388-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGER",
"first_name": "WALTER",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2010-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G63647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.