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

Q: 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.

Q: What is John Van Doren's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Van Doren was last updated on November 9, 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.

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: August 23, 2026.

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

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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.

MS. NORMA ZAPATA LCSW

Social Worker (Clinical)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ADELE ALEXANDRA FIELDS MD

Radiology (Diagnostic Radiology)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 773-1574

DR. PETER JAMES SOFIA M.D.

Anesthesiology

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

ANDREA VIRGINIA CORPORA PA-C

Thoracic Surgery (Cardiothoracic Vascular Surgery)

39000 BOB HOPE DR, K - 108
RANCHO MIRAGE, CA 92270

Riverside County (760) 568-4330

SEVWANDI DE SILVA M.D.

Internal Medicine (Pulmonary Disease)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 834-3564

ERVIN XHUFKA NP

Nurse Practitioner (Family)

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 837-8542

LOGAN BUCKNER PT, DPT

Physical Therapist

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

MOLLY E MCKEOWN PA-C

Physician Assistant

39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270

Riverside County (760) 340-3911

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 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.