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KRISTA MARIE DOUGLASS
NPI 1881199776
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Torrance, CA

Active since March 24, 2018PECOS Enrolled
1000 W CARSON ST, TORRANCE, CA 90502(424) 306-4061 Get Directions Write a Review

NPPES record last updated: January 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krista Marie Douglass NPPES

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

KRISTA MARIE DOUGLASS (NPI 1881199776) is an individual urogynecology and reconstructive pelvic surgery provider in Torrance, California, licensed in California (A164649) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (2018).

NPPES Registry Identity

NPI1881199776
Entity TypeIndividualFemale
Primary Taxonomy207VF0040X
Provider Legal NameKRISTA MARIE DOUGLASS
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address1000 W Carson StTorrance, CA 90502-2059 · (424) 306-4061
Phone(424) 306-4061
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2018
Enumeration DateMarch 24, 2018
Last NPPES UpdateJanuary 21, 2025
NPPES CertifiedJanuary 21, 2025
✔ NPI 1881199776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
License✔ Licensed in CA · A164649
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1000 W CARSON ST, Torrance, CA 90502
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Other Names 1

Professional Name (2)Marie Douglass

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista Marie Douglass is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012340235
PECOS Enrollment IDI20250407003428
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 Krista Douglass reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Los Angeles
7.0 mi
Clinic/Center
1670 E 120TH ST
Los Angeles, CA 90059
  • Reassigned Medicare billing, California enrollment
  • 435 clinicians in this Medicare group
NPI 1780877613 (310) 668-5201

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 90502 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS BRITTANY IRVINE M.A.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
DEPAREMENT OF MANTAL HEALTH
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1648
DINA M MEZA
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Los Angeles County (310) 222-2741
MARIA GUADALUPE VALADEZ
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (559) 789-1327
ESTEBAN COTA
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
MS. DAWN MARIE TLUSTY RN
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1906
DR. NICOLE MOORE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
KENTON YUJI SAKURAI
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (424) 306-4000

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 Krista Douglass's NPI number?

The NPI number for Krista Douglass is 1881199776. It was assigned to this individual provider in the NPPES registry on March 24, 2018. The provider is also known as Marie Douglass.

Where is Krista Douglass located?

Krista Douglass practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-4061.

What is Krista Douglass's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Krista Douglass enrolled in Medicare?

Yes. Krista Douglass is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krista Douglass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krista Douglass reassigns Medicare benefits to County Of Los Angeles (Los Angeles, 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 Krista Douglass'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 Krista Douglass was last updated on January 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.