Individual provider Active NPI

Douglas H Owyang, MD

  • Family Medicine Physician
  • Salinas, CA
National Provider Identifier
1902847841
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A26061 Issued in CA
Practice address
1441 Constitution Blvd
BLDG. 151, Suite 16
Salinas, CA 93906-3100
Phone
(831) 769-8640
Fax
(831) 769-8632
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A26061 CA Primary

Addresses

Primary practice location

1441 Constitution Blvd
BLDG. 151, Suite 16
Salinas, CA 93906-3100

Mailing address

1615 Bunker Hill Way
Suite 100
Salinas, CA 93906-6013
Phone (831) 796-1304

Other identifiers 2

IdentifierTypeStateIssuer
110102076OtherMEDICARE RR
00A260610MedicaidCA

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000506 CA Practitioner - Family Practice 1456424050 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A26061CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Sep 8, 2014 Accepting new patients
County of San Mateo CurrentSince Oct 1, 2015 Accepting new patients
County of Monterey CurrentSince Sep 23, 2009 Accepting new patients
County of San Mateo CurrentSince Sep 8, 2014 Accepting new patients
County of Monterey Past Accepting new patients
Monterey County Behavioral Health Division Past Accepting new patients

Locations

2710 Middlefield Rd
Redwood City, CA 94063
Phone (650) 364-6010

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: dowyang19117@smch.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1902847841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BUNKER HILL WAY",
            "address_2": "SUITE 100",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939066013",
            "telephone_number": "831-796-1304",
            "fax_number": "831-757-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD",
            "address_2": "BLDG. 151, SUITE 16",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063100",
            "telephone_number": "831-769-8640",
            "fax_number": "831-769-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWYANG",
        "first_name": "DOUGLAS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A26061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "110102076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A260610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.