Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Douglas Lee Faison, PA-C

Individual provider Medical Physician Assistant · NPI 1396717492

Mr. Douglas Lee Faison, PA-C is a Medical Physician Assistant in San Diego, California. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

35000 Guadalcanal Ave Branch Medical Clinic Mcrd Bld 596
San Diego, CA 92140-5599
Phone: (619) 524-0789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1032153 (GA)

Record details

NPI number1396717492
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESJuly 13, 2026

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