Andrew Doumar

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95032031 Issued in CA

Practice address

9920 Talbert Ave
Fountain Valley, CA 92708-5153

Phone

(714) 378-7000

NPI assigned

Aug 26, 2025

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: andrewdoumar@clchc.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Celebrating Life Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mission Viejo, CA
  • NPI 1386273100
  NPD

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1871471912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 GARRISON BLVD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324127",
            "telephone_number": "954-288-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 TALBERT AVE",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-378-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUMAR",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95032031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Si Hue Dong
• Amanda Michael Donohue, D.O.
• Kathryn Dorsheimer
• Douglas a. Tran, MD Inc.
• Christine Douglas, ATC
• Lori Marie Downing, LMFT
• Dr Chris Smiles Dental Care
• Dr Diana Tran-Kim Corp.
• Dr Dineth Kantilal Patel MD a California Medical Coprporation
• Dr Layn Miller DC Apcc

• Nurse Practitioner in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.