Organization Active NPI

Douglas Marsall Engh, M.D., F.a.C.S., Inc.

  • Ophthalmology Physician
  • Valencia, CA
National Provider Identifier
1811140155
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G50142 Issued in CA
Legal business name
DOUGLAS MARSALL ENGH, M.D., F.A.C.S., INC.
Practice address
25775 McBean Pkwy
Suite 208
Valencia, CA 91355-3708
Phone
(661) 253-5000
Fax
(661) 259-9467
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. Douglas Marshall Engh, M.D.
Title
Medical Director
Phone
(661) 253-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G50142 CA Primary

Addresses

Primary practice location

25775 McBean Pkwy
Suite 208
Valencia, CA 91355-3708

Mailing address

25775 McBean Pkwy
Suite 208
Valencia, CA 91355-3708
Phone (661) 253-5000

Other identifiers 1

IdentifierTypeStateIssuer
00G501421MedicaidCA

National Provider Directory

National Provider Directory

Locations

25775 McBean Pkwy
Ste 208
Valencia, CA 91355
Phone (661) 253-5000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1811140155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY",
            "address_2": "SUITE 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553708",
            "telephone_number": "661-253-5000",
            "fax_number": "661-259-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY",
            "address_2": "SUITE 208",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553708",
            "telephone_number": "661-253-5000",
            "fax_number": "661-259-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS MARSALL ENGH, M.D., F.A.C.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "ENGH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-253-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G50142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G501421",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.