Gregory C. Doane, MD
Individual provider Active NPI Psychiatry Physician · Blythe, CA
NPI 1992853824 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1992853824
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- G79473 (CA)
- Practice address
- 1297 W Hobsonway
Blythe, CA 92225-1423 - Phone
- (760) 921-5000
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Los Angeles County Department of Mental Health
Practice addresses (Care Compare)
2260 E Palmdale Blvd
Suite J
Palmdale, CA 93550-4952
Phone (661) 575-1800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090428000111 | CA | Practitioner - Psychiatry | 5294883401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79473 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Current |
Accepting new patients | |
| Los Angeles County Department of Mental Health | Current | Accepting new patients | |
| Los Angeles County Department of Mental Health | Current |
Accepting new patients |
Locations
510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416
2260 E Palmdale Blvd
Ste J
Palmdale, CA 93550
Phone (661) 575-1800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G79473 | CA | Yes |
Addresses
Primary practice location
1297 W Hobsonway
Blythe, CA 92225-1423
Mailing address
4111 Elizabeth St
Cudahy, CA 90201-4309
Phone (323) 271-6350
Other practice location 1
4111 elizabeth st
Cudahy, CA 90201
Phone (323) 271-3650 ext. 32327
Other practice location 2
3075 Myers St
Riverside, CA 92503-5525
Phone (951) 358-3589
Other providers in Blythe, CA
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- Desert Hills RX LLC
- Desert View Medical
- Dharia DDS Professional Dental Corporation
- David DO
- Frank Wayne Dudley Jr.
- David (None) Dunn
- Khashayar Ebrahimzadeh
- Christopher Edmonds
- Rochella Edwards
All providers in Blythe, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.