Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS PETER DAVIDSON JR., PA
DeactivatedDOUGLAS PETER DAVIDSON JR., PA is a Physician Assistant healthcare provider located in SAN RAFAEL, California. NPI 1174294938 is deactivated in the NPPES registry. Verify at CMS.
Physician Assistant · SAN RAFAEL, CA
This NPI has been deactivated.
The record was deactivated on February 26, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1174294938
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2021 (0.43013698630137 yrs)
- Last Updated
- Mar 7, 2023
- Deactivated
- Feb 26, 2022
- License
-
62399 (CA)
Practice Information
- Address
-
50 ACACIA AVESAN RAFAEL, CA, 949012230Browse CA providers · Browse ZIP 94901
- Phone
- 9518168970
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MS. VERONICA A GONZALES | PA | 1245329606 |
| YVONNE LIN SORENSON | PA-C | 1467658245 |
| ROSE MARY JACQUELIN ALBUJAR | PA-C | 1659563849 |
| ROBERT E BELL JR. | PA | 1255671186 |
| MIGUEL SERRATO | ATC OT-C | 1013321264 |
| SHEILA SAHAR MOIN | PA-C | 1760832521 |
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.