Organization Active NPI

Douglas Crowley MD, Inc

  • Skilled Nursing Facility
  • San Diego, CA
National Provider Identifier
1942564653
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
A107750 Issued in CA
Legal business name
DOUGLAS CROWLEY MD, INC
Practice address
3863 Clairemont Dr
San Diego, CA 92117-5831
Phone
(858) 500-2693
NPI assigned
Jun 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Douglas Michael Crowley, MD
Title
Ceo/ Sole Provider
Phone
(760) 815-7064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X A107750 CA Primary

Addresses

Primary practice location

3863 Clairemont Dr
San Diego, CA 92117-5831

Mailing address

940 Bluejack Rd
Encinitas, CA 92024-4061
Phone (760) 815-7064

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1942564653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 BLUEJACK RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244061",
            "telephone_number": "760-815-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 CLAIREMONT DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175831",
            "telephone_number": "858-500-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS CROWLEY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/ SOLE PROVIDER",
        "authorized_official_telephone_number": "760-815-7064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "A107750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.