Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas Dean Dengerink, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1598761413

Dr. Douglas Dean Dengerink, DO is a Family Practice in San Diego, California. Qualified in 2002, 24 years ago. Practices with Sd Sports Medicine and Family Health Center, a 38-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

6699 Alvarado Rd Ste 2100
San Diego, CA 92120-5244
Phone: (619) 229-3909
Fax: (619) 229-3902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 20A9206 (CA)

Record details

NPI number1598761413
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2005
Last updated in NPPESSeptember 13, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Sd Sports Medicine And Family Health Center — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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