Cynthia Lynn Douglas, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

G50091 Issued in CA

Practice address

3701 S Higuera St
Ste 200
San Luis Obispo, CA 93401-7462

Phone

(805) 541-6033

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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.

• Central Coast Pathology Consultants, Inc

  • Clinical Medical Laboratory
  • San Luis Obispo, CA
  • NPI 1558320143
  NPD (past)
• Central Coast Pathology Consultants, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • San Luis Obispo, CA
  • NPI 1871743435
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1760419873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5007",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035007",
            "telephone_number": "805-710-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 S HIGUERA ST",
            "address_2": "STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017462",
            "telephone_number": "805-541-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "G50091",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G50091",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "CA",
            "license": "G50091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0058760",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G500910",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB43503F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savannah Michele Donovan
• Allen Doran, M.D.
• Robert J Doria, MD, FACC
• Peter L Dornhofer, M.D.
• Ihab Doss
• Rive Douglass, LMFT
• Bobbi Dover
• Laurel Doyle, L AC
• Michael Doyle, PA
• Dr. Armando F. Siqueiros, M.D., Inc.

• Clinical Pathology/Laboratory Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Clinical Pathology/Laboratory Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.