Organization Active NPI

R Douglas Owen DO Inc

  • Family Medicine Physician
  • Exeter, CA
National Provider Identifier
1942221171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5531 Issued in CA
Legal business name
R DOUGLAS OWEN DO INC
Practice address
244 N Kaweah Ave
Exeter, CA 93221
Phone
(559) 592-3889
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
R Douglas Owen, DO
Title
Pres
Phone
(559) 592-3885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A5531 CA Primary

Addresses

Primary practice location

244 N Kaweah Ave
Exeter, CA 93221

Mailing address

244 N Kaweah Ave
Exeter, CA 93221
Phone (559) 592-3889

Other identifiers 1

IdentifierTypeStateIssuer
00AX55310MedicaidCA

Other names 1

  • Rulon Douglas Owen DO Other name

National Provider Directory

National Provider Directory

Locations

465 N 5th St
Coalinga, CA 93210
Phone (209) 935-0813

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942221171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 N KAWEAH AVE",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "93221",
            "telephone_number": "559-592-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N KAWEAH AVE",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "93221",
            "telephone_number": "559-592-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R DOUGLAS OWEN DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "559-592-3885",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX55310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rulon Douglas Owen DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Exeter, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.