Active NPI
Douglas Crowley MD, Inc
- Skilled Nursing Facility
- San Diego, CA
National Provider Identifier
1942564653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- A107750
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.