Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DOUGLAS GORDON MCCARTY I, PHYSICAN ASSISTANT
Active Sole ProprietorMR. DOUGLAS GORDON MCCARTY I, PHYSICAN ASSISTANT is a Physician Assistant healthcare provider located in MORENO VALLEY, California. NPI 1043315880 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MORENO VALLEY, CA
Registration Details
- NPI Number
- 1043315880
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.895083465887 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA11412 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12980 FREDERICK ST STE IMORENO VALLEY, CA, 925535263Browse CA providers · Browse ZIP 92553
- Phone
- 9519243244
- Fax
- 9512436976
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MORENO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| MS. KELLY MIRANDA | PA-C, MPT | 1578671558 |
| SHINAHAZEL AQUINO VALDEZ | — | 1306915350 |
| MR. ROBERT RAY WITTY | PA-C | 1548326028 |
| MRS. MADELENE BROOKS | P.A. | 1629199286 |
| MR. JASON ISONG ALLEN | PA-C | 1891963419 |
| MRS. DIANA KAY LARSON | PAC | 1982868576 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.