Dr Jason Douglas, MD | |
9850 Genesee Ave Ste 900, La Jolla, CA 92037-1220 | |
(858) 626-7780 | |
Not Available |
Full Name | Dr Jason Douglas |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 27 Years |
Location | 9850 Genesee Ave Ste 900, La Jolla, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639152044 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 047736 (Georgia) | Secondary |
208M00000X | Hospitalist | 047736 (Georgia) | Secondary |
208M00000X | Hospitalist | C54005 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Scripps Memorial Hospital La Jolla | La jolla, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ximed Hospitalists, Inc. | 7214939222 | 33 |
Entity Name | Ximed Hospitalists, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831124791 PECOS PAC ID: 7214939222 Enrollment ID: O20070205000252 |
Mailing Address | Practice Location Address |
---|---|
Dr Jason Douglas, MD 9850 Genesee Ave Ste 900, La Jolla, CA 92037-1220 Ph: (858) 626-7780 | Dr Jason Douglas, MD 9850 Genesee Ave Ste 900, La Jolla, CA 92037-1220 Ph: (858) 626-7780 |
Noor Qaddour, DO Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Dr. Laura J. Nicholson, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-455-9100 Fax: 858-784-5933 | |
Ashkan Hayatdavoudi, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Darius Leung, DO Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N. Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-3200 | |
Ola Jandali, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 | |
Dr. Kimberly D Koppenbrink, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10666 N Torrey Pines Rd, Suite # 206, La Jolla, CA 92037 Phone: 858-455-9100 | |
Vivian Sardone, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10666 N Torrey Pines Rd, La Jolla, CA 92037 Phone: 858-554-7909 |