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

Individual provider Family Nurse Practitioner · NPI 1164196457

Garry Roger Dormevil, NURSEPRACTITIONER is a Family Nurse Practitioner in LA Quinta, California. Practices as a sole proprietor and works from 11 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
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Practice location Address checks out

79440 Corporate Center Dr Ste 100
LA Quinta, CA 92253-7243
Phone: (805) 719-3700
Fax: (805) 413-9099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (10)

  • 2720 N Harbor Blvd Ste 200, Fullerton, CA 92835-2626 — (805) 719-3700
  • 501 N Central Ave, Glendale, CA 91203-1901 — (805) 719-3700
  • 24012 Calle De La Plata Ste 230, Laguna Hills, CA 92653-7623 — (805) 719-3700
  • 333 University Ave Ste 140, Sacramento, CA 95825-6535 — (805) 719-3700
  • 4520 Executive Dr Ste 227, San Diego, CA 92121-3020 — (805) 719-3700
  • 2121 Wilshire Blvd Ste 303, Santa Monica, CA 90403-5743 — (805) 719-3700
  • 27555 Ynez Rd Ste 370, Temecula, CA 92591-4678 — (805) 719-3700
  • 77 Rolling Oaks Dr Ste 201, Thousand Oaks, CA 91361-1018 — (805) 719-3700
  • 23456 Hawthorne Blvd Ste 140, Torrance, CA 90505-4716 — (805) 719-3700
  • 440 N Mountain Ave Ste 103, Upland, CA 91786-5183 — (805) 719-3700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024180743 (VA)

Record details

NPI number1164196457
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedAugust 2, 2021
Last updated in NPPESApril 7, 2022
Certification dateApril 7, 2022
Mailing address135 S State College Blvd Ste 350, Brea, CA 92821-5814

Other providers in LA Quinta