Active NPI
Douglas K Luke MD Inc
- Geriatric Medicine (Family Medicine) Physician
- Roseville, CA
National Provider Identifier
1679600779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- G16645
- Legal business name
- DOUGLAS K LUKE MD INC
- Practice address
- 1424 Oak Hill Way
Roseville, CA 95661-4015 - Phone
- (916) 791-3024
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas K Luke, MD
- Title
- President
- Phone
- (916) 791-3024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | G16645 | CA | Primary |
Addresses
Primary practice location
1424 Oak Hill Way
Roseville, CA 95661-4015
Mailing address
1424 Oak Hill Way
Roseville, CA 95661-4015
Phone (916) 791-3024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G166450 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1679600779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 OAK HILL WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614015",
"telephone_number": "916-791-3024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 OAK HILL WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614015",
"telephone_number": "916-791-3024"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS K LUKE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "LUKE",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "916-791-3024",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "G16645",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G166450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.