Douglas a. Webber, MD, a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G83278 Issued in CA

Legal business name

DOUGLAS A. WEBBER, MD, A MEDICAL CORPORATION

Practice address

3171 Los Feliz Blvd.
Suite 309
Los Angeles, CA 90039-1537

Phone

(323) 666-6000

Fax

(323) 666-3761

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joanne M. Berry-Webber

Title

Office Manager

Phone

(323) 666-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas A Webber, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1497783708
  Medicare reassignment NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1720173248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD.",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391537",
            "telephone_number": "323-666-6000",
            "fax_number": "323-666-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD.",
            "address_2": "SUITE 309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391537",
            "telephone_number": "323-666-6000",
            "fax_number": "323-666-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A. WEBBER, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "BERRY-WEBBER",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "323-666-6000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G83278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE #",
            "identifier": "G83278",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Marie Dougherty, LCSW
• Jacob A Dougherty
• James Alan Doughty, N.P.
• Kimberly Doughty
• Reece Doughty, M.D
• Douglas B Tamkin MD Inc
• Douglas L Steel MD a Professional Corporation
• Douglas L. Gosney
• Douglas Speech Associates
• Deannah Douglas-Marshall

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.