Individual provider Active NPI

Daniel Jacobus Brink, M.D.

  • Family Medicine Physician
  • Yuba City, CA
National Provider Identifier
1013967215
Registry record updated Jun 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53326 Issued in CA
Practice address
1215 Plumas St
Suite 800
Yuba City, CA 95991-3455
Phone
(530) 821-2020
Fax
(530) 821-2038
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53326 CA Primary

Addresses

Primary practice location

1215 Plumas St
Suite 800
Yuba City, CA 95991-3455

Mailing address

PO Box 3067
Yuba City, CA 95992-3067
Phone (530) 751-4784

Other identifiers 1

IdentifierTypeStateIssuer
00A533260MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000411 CA Practitioner - Family Practice 4587558234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca Healthcare DistrictGroup PAC ID 8820907140, 22 clinicians

Practice addresses (Care Compare)

130 Brentwood Dr
Chester, CA 96020
Phone (530) 258-2067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca Healthcare District Current Accepting new patients
Seneca Healthcare District CurrentSince Sep 10, 2020 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2020 Accepting new patients
Regents of the University of California CurrentSince Oct 1, 2020 Accepting new patients

Locations

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/58c7ab72-0260-42da-abd7-afdb8366fc20/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/seneca-ec06cace

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1013967215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-751-4784",
            "fax_number": "530-751-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLUMAS ST",
            "address_2": "SUITE 800",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913455",
            "telephone_number": "530-821-2020",
            "fax_number": "530-821-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "DANIEL",
        "middle_name": "JACOBUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A533260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.