Active NPI
Donald Blair Maisel, MD
- Family Medicine Physician
- Brentwood, CA
National Provider Identifier
1740246495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G42394
- Practice address
- 2400 Balfour Rd Ste 120
Brentwood, CA 94513-4956 - Phone
- (925) 308-8111
- NPI assigned
- Apr 21, 2006
- Last updated
- Mar 27, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G42394 | CA | Primary |
Addresses
Primary practice location
2400 Balfour Rd Ste 120
Brentwood, CA 94513-4956
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888
Other practice location 1
751 S Bascom Ave
Emergency Department
San Jose, CA 95128-2604
Phone (408) 885-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G423940 | Medicaid | CA |
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 |
|---|---|---|---|
| G42394 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Schooner Emergency Physicians, a Medical Corporation | Past | Accepting new patients | |
| Central California Radiology Associates Inc | Past | Accepting new patients | |
| Sierra Rural Physicians, Inc. | Past | Accepting new patients |
Interoperability endpoints
- dmaisel20467@ehr.johnmuirhealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1619343050
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1205035581
-
- Emergency Medicine Physician
- Mariposa, CA
- NPI 1699890905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1740246495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 BALFOUR RD STE 120",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945134956",
"telephone_number": "925-308-8111"
}
],
"practiceLocations": [
{
"address_1": "751 S Bascom Ave",
"address_2": "Emergency Department",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951282604",
"country_code": "US",
"telephone_number": "408-885-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAISEL",
"first_name": "DONALD",
"middle_name": "BLAIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G42394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G423940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.