Douglas Germond Tolley Jr., M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G22256 Issued in CA

Practice address

1007 Live Oak Blvd
Suite B2
Yuba City, CA 95991-3454

Phone

(530) 671-8718

Fax

(530) 671-8725

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Rideout Medical Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Yuba City, CA
  • NPI 1740530385
  NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412294400000",
    "number": "1649203175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 LIVE OAK BLVD",
            "address_2": "SUITE B2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913454",
            "telephone_number": "530-671-8718",
            "fax_number": "530-671-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 LIVE OAK BLVD",
            "address_2": "SUITE B2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913454",
            "telephone_number": "530-671-8718",
            "fax_number": "530-671-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY",
        "first_name": "DOUGLAS",
        "middle_name": "GERMOND",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2014-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G22256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN #",
            "identifier": "00G222560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CLIA ID #",
            "identifier": "05D0947254",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649203175",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiny Creative Minds LLC
• Lee Patrick Tocchi, M.D.
• Kosuke Tokunaga, M.D.
• Pamela D Toland, P.A.
• Mercedes Elaine Tolentino, AMFT, APCC
• Justin Marc Tolman, OD
• Micah Tomm, DPT
• Griselda Jennifer Torres
• Xavier Diego Torres
• Zitlali Ester Torres

• Obstetrics & Gynecology Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.