NPIMap

Individual provider Active NPI

Brian Daniel Thornton

  • Nephrology Physician
  • Roseville, CA
National Provider Identifier
1689625147
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A72684 Issued in CA
Practice address
151 N Sunrise Ave
Suite 611
Roseville, CA 95661-2924
Phone
(916) 789-1505
Fax
(916) 789-1513
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A72684 CA Primary

Addresses

Primary practice location

151 N Sunrise Ave
Suite 611
Roseville, CA 95661-2924

Mailing address

151 N Sunrise Ave
Suite 611
Roseville, CA 95661-2924
Phone (916) 789-1505

Other identifiers 2

IdentifierTypeStateIssuer
A72684OtherCAMEDICAL LICENSE
GR0100970MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000762 CA Practitioner - NephrologyPractitioner - Internal Medicine 4082642186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Nephrology Medical Group, Inc. 10 clinicians

Practice addresses (Care Compare)

151 N Sunrise Ave
Suite 1202
Roseville, CA 95661-2932
Phone (916) 789-1505

Hospital & facility affiliations

  • Rai - Secret Ravine Parkway - Roseville Dialysis facility, Roseville, CA, CCN 552540
  • Roseville Home Therapy Dialysis facility, Roseville, CA, CCN 552788
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Auburn Faith Hospital Hospital, Auburn, CA, CCN 050498
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
  • Sutter Roseville Medical Center Inpatient rehabilitation facility, Roseville, CA, CCN 05T309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72684CAMDClinical Social Worker
A72684CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Nephrology Medical Group, Inc Nephrology CurrentSince Mar 24, 2005 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

11969 Heritage Oak Pl
Auburn, CA 95603
Phone (530) 878-5950

151 N Sunrise Ave
Ste 1202
Roseville, CA 95661
Phone (916) 789-1505

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

Interoperability endpoints

  • Direct secure messaging: bthornton57740@hisp.ehr.sutterhealth.org

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 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1689625147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 611",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-1505",
            "fax_number": "916-789-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N SUNRISE AVE",
            "address_2": "SUITE 611",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612924",
            "telephone_number": "916-789-1505",
            "fax_number": "916-789-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A72684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A72684",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.