Jessica V Douglas

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

INT52191 Issued in CA

Practice address

828 Hermiston Dr
San Jose, CA 95136-1512

Phone

(408) 838-6044

NPI assigned

Aug 20, 2026

Sex

Female

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

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

{
    "created_epoch": "1787184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1902712805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 HERMISTON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361512",
            "telephone_number": "408-838-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HERMISTON DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951361512",
            "telephone_number": "408-838-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JESSICA",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-20",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "INT52191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Douangmany
• Douglas Maxson
• Douglas W. Vierra, D.D.S., Inc. (Plaza Dental Group)
• Emilee Rose Douglas
• Fe Lizette Vergara Douglas, M.S. CCC-SLP
• Rachelle Yvonne Douglas
• Umar Douglas, B.A.
• Cameron Douglass
• Mheir Doursounian, MD
• Vanessa Dove

• Student in an Organized Health Care Education/Training Program in San Jose, CA
• Providers in San Jose, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.