Active NPI
Al Brooks, MD
- Ophthalmology Physician
- Gold River, CA
National Provider Identifier
1104023902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G47145
- Practice address
- Al Brooks C/O Will Jones, MST
2377 Gold Meadow Way, Ste. 100
Gold River, CA 95670 - Phone
- (916) 586-8999
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G47145 | CA | Primary |
Addresses
Primary practice location
Al Brooks C/O Will Jones, MST
2377 Gold Meadow Way, Ste. 100
Gold River, CA 95670
Mailing address
Al Brooks C/O Will Jones, MST
2377 Gold Meadow Way, Ste. 100
Gold River, CA 95670
Phone (916) 586-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G47145 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G47145 | CA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1104023902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AL BROOKS C/O WILL JONES, MST",
"address_2": "2377 GOLD MEADOW WAY, STE. 100",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "95670",
"telephone_number": "916-586-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AL BROOKS C/O WILL JONES, MST",
"address_2": "2377 GOLD MEADOW WAY, STE. 100",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "95670",
"telephone_number": "916-586-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROOKS",
"first_name": "AL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-27",
"last_updated": "2022-01-24",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G47145",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G47145",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gold River, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.