Douglas P Ebbers, M.S. IN ED.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3665 Kearny Villa Rd
Suite 405
San Diego, CA 92123-1953

Phone

(858) 966-1700

NPI assigned

Jan 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1861678633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 CHILDREN'S WAY",
            "address_2": "MC 5111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234282",
            "telephone_number": "858-966-1700",
            "fax_number": "858-966-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 KEARNY VILLA RD",
            "address_2": "SUITE 405",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231953",
            "telephone_number": "858-966-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBERS",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "M.S. IN ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Sera Eaton
• Carole Ingrid Ebaugh
• Ebb and Flow Marriage and Family Therapist, Inc.
• Darlene Ebbat
• William Leonard Ebbeling, M.D.
• Ann-Sofie Linnea Ebenfelt, RN
• Christina Marie Eberhardt
• Luann Eberhardt
• Nicole Christine Eberhardt
• Louise M Eberhart, MD

• Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.