Gregory Wesley McDougal, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

20 High School CT
Los Gatos, CA 95030-6917

Phone

(650) 521-7216

NPI assigned

Jul 10, 2018

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

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1922594191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 WESTMONT AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HIGH SCHOOL CT",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306917",
            "telephone_number": "650-521-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGAL",
        "first_name": "GREGORY",
        "middle_name": "WESLEY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-10",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne Mayhew, M.D.
• Maria Simeone McCarthy, NP
• Kevin McClenahan, PT
• John Bruce McCleve, DDS
• Reginald McCoy, M.D.
• Terryl McFarland, P.T.
• Paige McFarlane
• Daniel Robert McGirt III
• Kirsten McGlynn, CMT
• Judy Lynne McGrain, D.C.

• Athletic Trainer in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.