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DR. JOHN DERRICK VAN DOREN MD
NPI 1841844115
General Practice in Rancho Mirage, CA

Active since July 25, 2019PECOS Enrolled
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270(951) 375-7966 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 9, 2021, Jul 25, 2019 (2 updates tracked since 2019).

About Dr. John Derrick Van Doren Md NPPES

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

DR. JOHN DERRICK VAN DOREN MD (NPI 1841844115) is an individual general practice provider in Rancho Mirage, California, licensed in California (G60750) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841844115
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHN DERRICK VAN DORENCredential: MD
Location Address39000 BOB HOPE DRRancho Mirage, CA 92270-3221
Mailing Address42222 Rancho Las Palmas Dr Unit 986Rancho Mirage, CA 92270-4268 · (951) 375-7966
Phone(951) 375-7966
Sole ProprietorNo
Enumeration DateJuly 25, 2019
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedOctober 17, 2021
✔ NPI 1841844115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · G60750
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License G60750 (CA)
39000 BOB HOPE DR, Rancho Mirage, CA 92270
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Derrick Van Doren Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW J HAYDUKE M.D.
Plastic Surgery
39000 BOB HOPE DR, KIEWIT SUITE 206
RANCHO MIRAGE, CA 92270
Riverside County (760) 341-6996
DONNA LYNN WHITEHOUSE M.D.
Specialist
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-2006
DR. CHRISTINE LOUISE GRISWOLD MD
Obstetrics & Gynecology (Gynecology)
39000 BOB HOPE DR, KIEWIT 405
RANCHO MIRAGE, CA 92270
Riverside County (760) 568-4343
DR. MOHAMAD KHALDOUN ALNABELSI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
39000 BOB HOPE DR, K208
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-5350
V DOUGLAS JODOIN MD
Family Medicine
39000 BOB HOPE DR, W208
RANCHO MIRAGE, CA 92270
Riverside County (760) 773-3950
DR. ANTHONY STEPHEN TORNAY JR. M.D.
Internal Medicine (Gastroenterology)
39000 BOB HOPE DR, P203
RANCHO MIRAGE, CA 92270
Riverside County (760) 776-4280
WILLIAM R PAGE MD
Urology
39000 BOB HOPE DR, WRIGHT BLDG., #412
RANCHO MIRAGE, CA 92270
Riverside County (760) 346-8555
DR. JEFFREY HAROLD HERZ M.D.
Urology
39000 BOB HOPE DR, KIEWIT BLDG. STE. 401
RANCHO MIRAGE, CA 92270
Riverside County (760) 346-1882

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 John Van Doren's NPI number?

The NPI number for John Van Doren is 1841844115. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is John Van Doren located?

John Van Doren practices at 39000 Bob Hope Dr, Rancho Mirage, CA 92270. The listed phone number is (951) 375-7966.

What is John Van Doren's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is John Van Doren enrolled in Medicare?

Yes. John Van Doren is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Van Doren was last updated on November 9, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.