Jerry Edward Douglas, MD
NPI 1285603621ActiveIndividual· Family Medicine· Clearlake, CA
Family Medicine (MD) in Clearlake, California, licensed in CA and IN, with an NPI issued in March 2006.
Overview
| NPI | 1285603621 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 17, 2006 |
| Last updated in NPPES | Apr 2, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 53653 | CA |
| Family Medicine | 207Q00000X | 01032101A | IN |
| Family Medicine | 207Q00000X | C53653 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 family medicine physicians in Clearlake · All family medicine physicians in California