Active NPI
Nelson C Frink, M.D.
- Diagnostic Radiology Physician
- Yuba City, CA
National Provider Identifier
1356329932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G65059
- Practice address
- 945 Shasta St
Yuba City, CA 95991-4114 - Phone
- (530) 671-8564
- Fax
- (530) 671-8592
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G65059 | CA | Primary |
Addresses
Primary practice location
945 Shasta St
Yuba City, CA 95991-4114
Mailing address
945 Shasta St
Yuba City, CA 95991-4114
Phone (530) 645-5338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G650590 | Medicaid | CA | |
| 300035248 | Other | MEDICARE ID | |
| 300015152 | Other | MEDICARE ID |
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 |
|---|---|---|---|
| 65059 | CA | MD | General Practice Dentistry |
| G65059 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1356329932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 SHASTA ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914114",
"telephone_number": "530-645-5338",
"fax_number": "530-645-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 SHASTA ST",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959914114",
"telephone_number": "530-671-8564",
"fax_number": "530-671-8592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRINK",
"first_name": "NELSON",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G65059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G650590",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "300035248",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "300015152",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.