Douglas Granada Dado, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011587 Issued in CA

Practice address

4500 Business Center Dr
Fairfield, CA 94534-6888

Phone

(707) 646-5000

NPI assigned

Apr 11, 2019

Last updated

Apr 11, 2019By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gurpreet S Dhugga Medical CorporationGroup PAC ID 0840339107, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.73 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.42

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gurpreet S. Dhugga Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1053649376
  Medicare reassignment Care Compare group NPD
• SNF Specialists Medical Corporation

  • Internal Medicine Physician
  • Fairfield, CA
  • NPI 1497265565
  Medicare reassignment NPD

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554940800000",
    "number": "1649733049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 RIVER PINES WAY",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945891434",
            "telephone_number": "707-554-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BUSINESS CENTER DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945346888",
            "telephone_number": "707-646-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADO",
        "first_name": "DOUGLAS",
        "middle_name": "GRANADA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Cussins
• Cyrus R. Mancherje, M.D., Inc.
• Michael D'Amico, PHARM.D
• Shawanda Dabbs
• Patrick Mark Mempin Dacullo, RN
• Marc J Daguio, RAD-T
• Jordan Dahl
• Allen Dai, PHARMD
• Tristan Bowley Dalisay, PT
• Dalla Dental Group Fairfield Inc (Sunrise dental & implants)

• Family Nurse Practitioner in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.