Jason Douglas, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

C54005 Issued in CA

Practice address

9850 Genesee Ave Ste 900
La Jolla, CA 92037-1220

Phone

(858) 626-7780

NPI assigned

Nov 21, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Internal Medicine

Education

Emory University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ximed Hospitalists, Inc.Group PAC ID 7214939222, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ximed Hospitalists, Inc.

  • Specialist
  • La Jolla, CA
  • NPI 1831124791
  Medicare reassignment Care Compare group NPD
• Brook Cardiothoracic Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlanta, GA
  • NPI 1609117357
  NPD (past)
• Del Mazo Medical Services

  • Gastroenterology Physician
  • Atlanta, GA
  • NPI 1396807798
  NPD (past)
• Wellstar Physicians Group Hospitalists, LLC

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1629025754
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scripps Health

  • General Acute Care Hospital
  • La Jolla, CA
  • NPI 1841277704
  Care Compare affiliation

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1639152044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 900",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371220",
            "telephone_number": "858-626-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 900",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371220",
            "telephone_number": "858-626-7780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Collier Rd NW",
            "address_2": "Suite 635",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091613",
            "country_code": "US",
            "telephone_number": "404-367-3014",
            "fax_number": "404-367-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047736",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "047736",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C54005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anjali Doshi
• Megan Mariel Doty, MD
• Michael Burgess Doud, MD
• Clara Werner Dougherty, PA-C
• Paul E, Dougherty, D.D.S.
• Elaine Joyce Dove, PYS.D.
• Kristopher Lee Downing, MD
• Nancy Swerdlow Downs, M.D.
• Stephen Eric Doyne, PHD
• Dr. Barry Julian Broomberg M.D.

• Hospitalist Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.