Active NPI
Douglas H Owyang, MD
- Family Medicine Physician
- Salinas, CA
National Provider Identifier
1902847841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A26061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110102076 | Other | MEDICARE RR | |
| 00A260610 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A26061 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| County of San Mateo | Current | 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
- 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.
-
- Pediatrics Physician
- Salinas, CA
- NPI 1457303356
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1831268580
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Multi-Specialty Clinic/Center
- Redwood City, CA
- NPI 1871529073
-
- Federally Qualified Health Center (FQHC)
- Salinas, CA
- NPI 1508629171
-
- Community/Behavioral Health Agency
- Salinas, CA
- NPI 1730211178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.