DR. CLIFFORD CARL DOUGLAS


Address: 4500 Brockton Avenue, Suite 201, Riverside, CA 92501-4008
Phone: 9516823853

DR. CLIFFORD CARL DOUGLAS (NPI# 1932166485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932166485
Entity Type Individual
Full Name DR. CLIFFORD CARL DOUGLAS
Credential MD, PH.D.
Practice Address 4500 Brockton Avenue
Suite 201
Riverside
CA 92501-4008
Mailing Address 4500 Brockton Ave
Suite 201
Riverside
CA 92501-4090
Practice Telephone 9516823853
Practice Fax Number 9516829596
Mailing Telephone 9516823853
Mailing Fax Number 9516829596
Enumeration Date 2006-04-27
Last Update Date 2015-12-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery G70288 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4500 BROCKTON AVENUE
SUITE 201
City RIVERSIDE
State CA
Zip Code 92501-4008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922033729 Truong Dinh Duong Internal Medicine 4500 Brockton Avenue, Suite 319, Riverside, CA 92501 2006-07-11
1386602720 Brian S. Choi Specialist 4500 Brockton Avenue, Ste. #107, Riverside, CA 92501 2006-05-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700437605 Mary Horvatin Technician 1811 Rivera Strret, Riverside, CA 92501 2019-09-23
1366905473 Timothy Daniel Collins Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 2019-04-08
1346709672 Lourdes Adame Student in an Organized Health Care Education/Training Program 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 2019-03-16
1740759067 Kristina Ferris-celosse Counselor 2452 Wilshire St., Riverside, CA 92501 2018-11-15
1750888095 Arunmozhi Aravagiri Student in an Organized Health Care Education/Training Program Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 2018-04-12
1720585847 Alan Huynh Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 2018-04-06
1538664834 Wilson Paul Frasca Student in an Organized Health Care Education/Training Program 4445 Magnolia Avenue, Riverside, CA 92501 2018-03-28
1851896575 Geethu Gopinathan Nair Student in an Organized Health Care Education/Training Program Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 2018-03-26
1316465560 Thilini Anne Abeygunaratne Marriage & Family Therapist 1950 Market Street, Riverside, CA 92501 2017-09-07
1194257410 Melissa Chitwood Assistant Behavior Analyst 3078 Cedar St., Riverside, CA 92501 2017-03-28
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760772131 Nikhil Sahasrabudhe Neurological Surgery 4500 Brockton Ave Ste 201, Riverside, CA 92501 2011-04-19
1215952676 Emad Samir Farag Neurological Surgery 7117 Brockton Ave Ste 200, Riverside, CA 92506-2658 2006-07-13
1750607099 Sean William Kaloostian Neurological Surgery 6276 River Crest Dr, Ste A, Riverside, CA 92507 2010-04-12
1336353341 Dennis E Cramer Neurological Surgery 6276 River Crest Dr, Riverside, CA 92507-0783 2007-05-09
1316997174 Faculty Physicians and Surgeons of Llusm Neurological Surgery 4646 Brockton Ave, Riverside, CA 92506-0102 2006-05-11
1982662904 Lawrence Erwin Clark Neurological Surgery 7117 Brockton Ave, Riverside, CA 92506-2658 2006-05-01
1154389179 Stephen S. Marvin Neurological Surgery 4000 14th St, 302, Riverside, CA 92501-4083 2006-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376144477 Faculty Physicians and Surgeons of Llusm Neurological Surgery 35400 Bob Hope Dr Ste 110, Rancho Mirage, CA 92270-1772 2020-11-04
1013524123 Hubert Tsun-yin Lee Neurological Surgery 1201 Welch Road, Stanford, CA 94305-5327 2020-09-24
1811500267 Chaparral Medical Group, Inc. Neurological Surgery 9120 Haven Ave Ste 201, Rancho Cucamonga, CA 91730-5413 2020-08-26
1982259461 Mauricio Mandel Brigido Neurological Surgery 300 Pasteur Dr # R281, Stanford, CA 94305-2200 2019-08-01
1538713227 Sylvain Palmer Md Inc Neurological Surgery 26732 Crown Valley Pkwy Ste 541, Mission Viejo, CA 92691-6376 2019-07-31
1851945877 X.sean Xin, Do Inc. Neurological Surgery 7230 Med Ctr Dr Ste 600, West Hills, CA 91307-4017 2019-07-29
1154974525 Jan M. Eckermann, Md Inc. Neurological Surgery 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 2019-07-24
1598317711 Newport Beach Neurosurgical Institute Neurological Surgery 1501 Superior Ave Ste 214b, Newport Beach, CA 92663-3600 2019-07-09
1609438761 Py26 Neurosurgery, PC Neurological Surgery 120 S Spalding Dr Ste 305, Beverly Hills, CA 90212-1800 2019-06-28
1679133664 Sequoia Neurosurgery, Inc. Neurological Surgery 306 N Conyer St Ste A, Visalia, CA 93291-4704 2019-06-20
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Competitor

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City RIVERSIDE
Zip Code 92501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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