Jerry Douglas, MD
NPI 1285603621 · Family Medicine Physician · Clearlake, CA
Jerry Douglas, MD is a Family Medicine Physician provider in Clearlake, CA (NPI 1285603621).
Provider details
- NPI number
- 1285603621
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01032101A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2018-04-02
Frequently asked questions
- What is Jerry Douglas's NPI number?
- Jerry Douglas's National Provider Identifier (NPI) is 1285603621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Douglas's specialty?
- Jerry Douglas is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Douglas located?
- Jerry Douglas's practice location on file with NPPES is 15322 Lakeshore Dr, Clearlake, CA 95422-9814.
- What is Jerry Douglas's phone number?
- The practice phone number listed in the NPPES registry for Jerry Douglas is (707) 994-0303.
- Is Jerry Douglas's NPI active?
- Yes — Jerry Douglas's NPI (1285603621) is active in the NPPES registry as of the last update on 2018-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.