MRS. CLARA WERNER DOUGHERTY PA-C NPI 1609987619

NPI Information

  • NPI: 1609987619
  • Provider Name: MRS. CLARA WERNER DOUGHERTY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9850 GENESEE AVE
    SUITE 400
    LA JOLLA, CA
    ZIP 92037
  • Phone: (858) 453-5944

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NPI Details

MRS. Clara Werner Dougherty, PA-C is a medical physician assistant in La Jolla, CA with 23 years of experience. MRS. Clara Werner Dougherty, PA-C NPI is 1609987619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

9850 GENESEE AVE
SUITE 400
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 453-5944
Fax: (858) 429-7925

The NPI 1609987619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 11/17/2023.

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 AssistantMedicalPA17439CALIFORNIAYes

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: 3/30/2025

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