black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

RAPHAEL PHILLIPE DOUGLAS

PRODUCER NON-RESIDENT

License Number:
PRN465479
Status:
First Licensure:
09/30/2023
Cancel Date:
None

Mailing:
ONTARIO, CA 91761
Phone:
+1 (714) 427-5950
Fax:
+1 (415) 610-5281
Email:
douglas.raphael@aaa-calif.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 09/30/2023

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMERICAN STRATEGIC INSURANCE CORP
05/02/2025 PCF258492
BRISTOL WEST INSURANCE COMPANY
10/07/2024 PCF78370 02/12/2025
FARMERS CASUALTY INSURANCE COMPANY
10/08/2024 PCF895 02/12/2025
FARMERS CASUALTY INSURANCE COMPANY
07/01/2025 PCF895
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
10/08/2024 PCF267721 02/12/2025
FARMERS DIRECT PROPERTY AND CASUALTY INSURANCE COMPANY
07/01/2025 PCF267721
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
10/08/2024 PCF714 02/12/2025
FARMERS PROPERTY AND CASUALTY INSURANCE COMPANY
07/01/2025 PCF714
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
10/07/2024 PCF445 02/12/2025
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
07/01/2025 PCF445

Authority

Description Issue Date Termination Date Status
PERSONAL LINES 09/30/2023 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
20205338

Other Addresses

Address Type
3333 FAIRVIEW RD # A124
COSTA MESA, CA 92626-1610
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/19/2025 06:07:23 PM