Individual provider Active NPI

Nelson C Frink, M.D.

  • Diagnostic Radiology Physician
  • Yuba City, CA
National Provider Identifier
1356329932
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G65059 Issued in CA
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

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G650590MedicaidCA
300035248OtherMEDICARE ID
300015152OtherMEDICARE 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

LicenseStateTypeSpecialty
65059CAMDGeneral Practice Dentistry
G65059CAMDDiagnostic 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.

Verify at the official NPI Registry.