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

William Glen Douglas, MD

Individual provider General Practice Physician · NPI 1477793727

William Glen Douglas, MD is a General Practice in Sacramento, California. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1974, 52 years ago. Practices with Elica Health Centers, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
52
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3701 J St Ste 201
Sacramento, CA 95816-5542
Phone: (916) 454-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G46175 (CA)

Record details

NPI number1477793727
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 26, 2009
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address1860 Howe Ave Ste 440, Sacramento, CA 95825-1098

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1974 (52 years in practice)
Group practice Elica Health Centers — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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