Shameika Lakayyai Douglass, R.D.A

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

73858 Issued in CA

Practice address

12121 Wilshire Blvd
Suite 1111
Los Angeles, CA 90025-1123

Phone

(310) 820-9933

NPI assigned

Aug 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249603200000",
    "number": "1639300668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 N RANCHO AVE",
            "address_2": "H233",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923246900",
            "telephone_number": "909-885-0372",
            "fax_number": "909-885-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WILSHIRE BLVD",
            "address_2": "SUITE 1111",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251123",
            "telephone_number": "310-820-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "SHAMEIKA",
        "middle_name": "LAKAYYAI",
        "name_prefix": "Miss",
        "credential": "R.D.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "73858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Denese Douglas
• Tarese Douglas, MT
• Wendy Michelle Douglas, MSW, MSPH
• Krista Loskota Douglass, CRNA
• Rebecca Ruth Douglass, MPT
• Antoin Douglawi, M.D.
• Jelena Douillard
• Sakhan Douk, CASE MANAGER
• Doulas of America International LLC
• Leo Raffi Doumanian, M.D.

• Dental Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.