Active NPI
George V Dous
- Cardiovascular Disease Physician
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- A132794
- Practice address
- 999 S Fairmont Ave Ste 130
Lodi, CA 95240 - Phone
- (209) 336-2001
- Fax
- (209) 366-2022
- NPI assigned
- Oct 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | A132794 | CA | Primary |
Addresses
Primary practice location
999 S Fairmont Ave Ste 130
Lodi, CA 95240
Mailing address
301 W Bastanchury Rd
Ste 240
Fullerton, CA 92835-3430
Phone (714) 853-1218
Other practice location 1
470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1568
Other practice location 2
470 Clarkson Ave
Brooklyn, NY 11203-2012
Phone (718) 270-1568
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
301 W Bastanchury Rd
Suite 240
Fullerton, CA 92835-3430
Phone (714) 853-1218
Hospital & facility affiliations
- Providence St. Jude Medical Center
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.32 of 100
- Quality
- 97.74
- Improvement activities
- 40
- Cost
- 71.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132794 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart to Heart Cardiology and Vascular of Orange County Inc. | Cardiology | Current | Accepting new patients |
| Sameh Shenouda MD Inc. | Current | Accepting new patients | |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
301 W Bastanchury Rd
Ste 240
Fullerton, CA 92835
Phone (714) 220-8735
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
7963 Van Nuys Blvd
Ste 101
Panorama City, CA 91402
Phone (818) 909-9955
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEBFCD
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
- Medical Specialty Clinic/Center
- Fullerton, CA
- NPI 1629742853
Cardiology
-
- Adult Medicine Physician
- Panorama City, CA
- NPI 1598270191
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
-
- General Acute Care Hospital
- Placentia, CA
- NPI 1700817756
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1780936906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W BASTANCHURY RD",
"address_2": "STE 240",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353430",
"telephone_number": "714-853-1218",
"fax_number": "714-853-1224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 S FAIRMONT AVE STE 130",
"city": "LODI",
"state": "CA",
"postal_code": "95240",
"telephone_number": "209-336-2001",
"fax_number": "209-366-2022"
}
],
"practiceLocations": [
{
"address_1": "470 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1568",
"fax_number": "718-270-2917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "470 Clarkson Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112032012",
"country_code": "US",
"telephone_number": "718-270-1568",
"fax_number": "718-270-2917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUS",
"first_name": "GEORGE",
"middle_name": "V",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-11",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "A132794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.