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CHARISSA DOUGLAS D.C.
NPI 1912489162
Chiropractor in Victorville, CA

Active since September 04, 2018
17330 BEAR VALLEY RD, STE 105, VICTORVILLE, CA 92395(760) 245-8182(760) 245-2123 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Sep 4, 2018 (2 updates tracked since 2018).

About Charissa Douglas D.c. NPPES

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

CHARISSA DOUGLAS D.C. (NPI 1912489162) is an individual chiropractor in Victorville, California, licensed in California (DC36310) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1912489162
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameCHARISSA DOUGLASCredential: D.C.
Location Address17330 BEAR VALLEY RD, STE 105Victorville, CA 92395
Mailing Address17330 Bear Valley Rd, Ste 105Victorville, CA 92395 · (760) 245-8182 · Fax (760) 245-2123
Phone(760) 245-8182
Fax(760) 245-2123
Sole ProprietorYes
Enumeration DateSeptember 4, 2018
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1912489162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC36310
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
17330 BEAR VALLEY RD, Victorville, CA 92395
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Other Names 1

Former Name (1)Charissa Tam Atc

Other Providers at the Same Location NPPES 11

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

GABRIEL L STINE DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
JACKLYN GARCIA DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (780) 245-8182
KALEB BRYANT D.C.
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
MR. SAM SOM FNP-C
Nurse Practitioner (Family)
17330 BEAR VALLEY RD, SUITE A 106
VICTORVILLE, CA 92395
San Bernardino County (760) 245-9999
KALILAH HILLSTOCK
Behavior Technician
17330 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 503-6100
MARK HERRERA D.C.
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
RAYCHELLE DEERMER-KEMPLE DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
SAMANTHA JO CHAINEY
Behavior Technician
17330 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 503-6100

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 Charissa Douglas's NPI number?

The NPI number for Charissa Douglas is 1912489162. It was assigned to this individual provider in the NPPES registry on September 4, 2018. The provider is also known as Charissa Tam Atc.

Where is Charissa Douglas located?

Charissa Douglas practices at 17330 Bear Valley Rd Ste 105, Victorville, CA 92395. The listed phone number is (760) 245-8182.

What is Charissa Douglas's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Charissa Douglas was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.