1. Home
  2. Directory
  3. California
  4. La Quinta
  5. Nurse Practitioner
  6. NPI Profile

GARRY ROGER DORMEVIL NURSE PRACTITIONER
NPI 1164196457
Nurse Practitioner - Family in La Quinta, CA

Active since August 02, 2021
79440 CORPORATE CENTER DR STE 100, LA QUINTA, CA 92253(805) 719-3700(805) 413-9099 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2022, Nov 24, 2021, Nov 17, 2021 and 1 more (4 updates tracked since 2021).

About Garry Roger Dormevil Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARRY ROGER DORMEVIL NURSE PRACTITIONER (NPI 1164196457) is an individual family provider in La Quinta, California, licensed in Virginia (0024180743) and active in the NPI registry since August 2021. He maintains 10 additional practice locations.

NPPES Registry Identity

NPI1164196457
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGARRY ROGER DORMEVILCredential: NURSE PRACTITIONER
Location Address79440 CORPORATE CENTER DR STE 100La Quinta, CA 92253-7243
Mailing Address135 S State College Blvd Ste 350Brea, CA 92821-5814 · (805) 719-3700 · Fax (805) 413-9099
Phone(805) 719-3700
Fax(805) 413-9099
Sole ProprietorYes
Enumeration DateAugust 2, 2021
Last NPPES UpdateApril 7, 20224 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1164196457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024180743
79440 CORPORATE CENTER DR STE 100, La Quinta, CA 92253
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1440 N Mountain Ave Ste 103Upland, CA 91786-5183 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 227555 Ynez Rd Ste 370Temecula, CA 92591-4678 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 323456 Hawthorne Blvd Ste 140Torrance, CA 90505-4716 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 424012 Calle De La Plata Ste 230Laguna Hills, CA 92653-7623 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 52720 N Harbor Blvd Ste 200Fullerton, CA 92835-2626 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 62121 Wilshire Blvd Ste 303Santa Monica, CA 90403-5743 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 777 Rolling Oaks Dr Ste 201Thousand Oaks, CA 91361-1018 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 8501 N Central AveGlendale, CA 91203-1901 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 94520 Executive Dr Ste 227San Diego, CA 92121-3020 · Phone (805) 719-3700 · Fax (805) 413-9099
Location 10333 University Ave Ste 140Sacramento, CA 95825-6535 · Phone (805) 719-3700 · Fax (805) 413-9099

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Garry Dormevil's NPI number?

The NPI number for Garry Dormevil is 1164196457. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Garry Dormevil located?

Garry Dormevil practices at 79440 Corporate Center Dr Ste 100, La Quinta, CA 92253. The listed phone number is (805) 719-3700.

What is Garry Dormevil's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Garry Dormevil was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.