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

Mr. Douglas Gordon McCarty I, PHYSICANASSISTANT

Individual provider Physician Assistant · NPI 1043315880

Mr. Douglas Gordon McCarty I, PHYSICANASSISTANT is a Physician Assistant in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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Practice location Address checks out

12980 Frederick St Ste I
Moreno Valley, CA 92553-5263
Phone: (951) 924-3244
Fax: (951) 243-6976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA11412 (CA)

Record details

NPI number1043315880
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICANASSISTANT
Sole proprietorYes
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJuly 8, 2007

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