| Jennifer Wood Doumas, DO | |
|
10538 Mission Gorge Rd, Ste 100, Santee, CA 92071-3154 | |
| (619) 456-0033 | |
| (619) 456-0095 |
| Full Name | Jennifer Wood Doumas |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 10538 Mission Gorge Rd, Santee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124038328 | NPI | - | NPPES |
| 00AX57070 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20A5707 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A5707 (California) | Primary |
| Entity Name | Somagen Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396058137 PECOS PAC ID: 1557530151 Enrollment ID: O20110817000276 |
| Entity Name | Somagen Healthcare Ii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316225147 PECOS PAC ID: 4981877735 Enrollment ID: O20111024000461 |
| Entity Name | Somagen Healthcare Iii Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558788620 PECOS PAC ID: 8921225830 Enrollment ID: O20140815001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wood Doumas, DO 10538 Mission Gorge Rd, Ste 100, Santee, CA 92071-3154 Ph: (619) 456-0033 | Jennifer Wood Doumas, DO 10538 Mission Gorge Rd, Ste 100, Santee, CA 92071-3154 Ph: (619) 456-0033 |
Ms. Nasaria Pilar Barreras, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 655 Park Center Dr, Santee, CA 92071 Phone: 619-596-6354 | |
Dr. Stacey L. Coleman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8080 | |
Dr. David John Hawkins, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 278 Town Center Pkwy, Suite 105, Santee, CA 92071 Phone: 619-449-6621 | |
Wendy Susan Dengerink, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 619-568-8025 Fax: 619-568-8095 | |
Dr. Joyce M. Ildesa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 278 Town Center Pkwy, Santee, CA 92071 Phone: 619-449-6621 | |
Amber Jo Ortega, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8080 | |
Ms. Kathleen Rachelle Outcalt, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8701 Cuyamaca St, Santee, CA 92071 Phone: 858-499-2715 Fax: 619-568-8081 |