D E Garrison DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

D E GARRISON DO INC

Practice address

4911 Warner Ave Ste 205
Huntington Beach, CA 92649-4473

Phone

(661) 387-5211

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Douglas Garrison, DONPI 1386649044

Title

Owner

Phone

(661) 387-5211

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Douglas Eric Garrison, DO

  • Family Medicine Physician
  • Huntington Beach, CA
  • NPI 1386649044
  Medicare reassignment Care Compare group NPD Authorized official
• Caitlin Grace Garrison, PA-C

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1710237011
  Medicare reassignment Care Compare group
• Desirae Nicole Macias, P.A

  • Physician Assistant
  • Huntington Beach, CA
  • NPI 1851763676
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1811517832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "SUNSET BEACH",
            "state": "CA",
            "postal_code": "907420035",
            "telephone_number": "661-387-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 WARNER AVE STE 205",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926494473",
            "telephone_number": "661-387-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D E GARRISON DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-387-5211",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Health
• Cyndi Vuu, Inc
• Cynthia L Fitzgerald
• Cyrus Sedaghat, M.D., Apmc
• Brianna Lynn Czerkawski, M.A., LMFT
• Stefanie Da Silva
• Kayla Dacosta
• Tara Dadafarin, DMD
• Aida Dadashzadeh, DDS
• Christine Daffer

• Family Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.