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MRS. FAITH COBAR DOUGLAS FNP
NPI 1578830212
Nurse Practitioner - Family in Chula Vista, CA

Active since November 23, 2011PECOS EnrolledAccepts Medicare Assignment
855 3RD AVE STE 3300, CHULA VISTA, CA 91911(619) 420-1200(619) 420-8070 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Faith Cobar Douglas Fnp NPPES

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

MRS. FAITH COBAR DOUGLAS FNP (NPI 1578830212) is an individual family provider in Chula Vista, California, licensed in California (20609) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1578830212
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. FAITH COBAR DOUGLASCredential: FNP
Location Address855 3RD AVE STE 3300Chula Vista, CA 91911-1353
Mailing Address855 3rd Ave Ste 3300Chula Vista, CA 91911-1353 · (619) 420-1200 · Fax (619) 420-8070
Phone(619) 420-1200
Fax(619) 420-8070
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 23, 2011
Last NPPES UpdateDecember 1, 2021
✔ NPI 1578830212 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 CA · 20609
855 3RD AVE STE 3300, Chula Vista, CA 91911
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Faith Cobar Douglas Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305091588
PECOS Enrollment IDI20130220000287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Faith Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
11 mi
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1023425972 (877) 608-0044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Faith Douglas's NPI number?

The NPI number for Faith Douglas is 1578830212. It was assigned to this individual provider in the NPPES registry on November 23, 2011.

Where is Faith Douglas located?

Faith Douglas practices at 855 3rd Ave Ste 3300, Chula Vista, CA 91911. The listed phone number is (619) 420-1200.

What is Faith Douglas's specialty?

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

Is Faith Douglas enrolled in Medicare?

Yes. Faith Douglas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Faith Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Faith Douglas reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Faith Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Faith Douglas was last updated on December 1, 2021. 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.