MR. DOUGLAS LEE FAISON PA-C NPI 1396717492

NPI Information

  • NPI: 1396717492
  • Provider Name: MR. DOUGLAS LEE FAISON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 35000 GUADALCANAL AVE
    BRANCH MEDICAL CLINIC, MCRD BLD 596
    SAN DIEGO, CA
    ZIP 92140
  • Phone: (619) 524-0789

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NPI Details

MR. Douglas Lee Faison, PA-C is a medical physician assistant in San Diego, CA. MR. Douglas Lee Faison, PA-C NPI is 1396717492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

35000 GUADALCANAL AVE
BRANCH MEDICAL CLINIC, MCRD BLD 596
SAN DIEGO, CA
ZIP 92140-599
Phone: (619) 524-0789

The enumeration date for this NPI number is 2/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical1032153GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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