Organization Active NPI

Bryan Doonan, MD, Inc

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1831515386
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRYAN DOONAN, MD, INC
Practice address
208 N El Camino Real
Suite B
Encinitas, CA 92024-2846
Phone
(760) 753-2050
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Bryan Doonan, M.D.
Title
President
Phone
(760) 753-2050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X CA Primary

Addresses

Primary practice location

208 N El Camino Real
Suite B
Encinitas, CA 92024-2846

Mailing address

208 N El Camino Real
Suite B
Encinitas, CA 92024-2846
Phone (760) 753-2050

Other names 1

  • Medspa XL Doing business as

National Provider Directory

National Provider Directory

Locations

208 N El Camino Real
Ste B
Encinitas, CA 92024
Phone (760) 753-2050

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1831515386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242846",
            "telephone_number": "760-753-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 N EL CAMINO REAL",
            "address_2": "SUITE B",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242846",
            "telephone_number": "760-753-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN DOONAN, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "DOONAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-753-2050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medspa XL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.