Individual provider Active NPI

Douglas J Morrow, MD

  • Surgery Physician
  • Tarzana, CA
National Provider Identifier
1790778959
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G21922 Issued in CA
Practice address
5411 Etiwanda Ave Ste 100
Tarzana, CA 91356-6159
Phone
(818) 757-8839
Fax
(818) 709-8160
NPI assigned
Aug 23, 2005
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G21922 CA Primary

Addresses

Primary practice location

5411 Etiwanda Ave Ste 100
Tarzana, CA 91356-6159

Mailing address

PO Box 9126
Canoga Park, CA 91309-0126
Phone (818) 709-8161

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040122000795 CA Practitioner - General Surgery 1254233059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 607
Tarzana, CA 91356-2833
Phone (818) 708-1004

PO Box
Suite 9126
Canoga Park, CA 91309

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue1521
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G21922CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas J Morrow MD Inc Surgery CurrentSince Jan 1, 1973 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients

Locations

18370 Burbank Blvd
Ste 607
Tarzana, CA 91356
Phone (818) 342-2123

5411 Etiwanda Ave
Ste 100
Tarzana, CA 91356
Phone (818) 757-8839

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1790778959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9126",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913090126",
            "telephone_number": "818-709-8161",
            "fax_number": "818-709-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 ETIWANDA AVE STE 100",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566159",
            "telephone_number": "818-757-8839",
            "fax_number": "818-709-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G21922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.