Individual provider Active NPI

Georgina Dorkin, FNP

  • Family Nurse Practitioner
  • Union City, CA
National Provider Identifier
1811087109
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17874 Issued in CA
Practice address
33077 Alvarado Niles Rd
Union City, CA 94587-3109
Phone
(510) 248-1500
Fax
(510) 248-1500
NPI assigned
Oct 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17874 CA Primary

Addresses

Primary practice location

33077 Alvarado Niles Rd
Union City, CA 94587-3109

Mailing address

33077 Alvarado Niles Rd
Union City, CA 94587-3109
Phone (510) 248-1500

Other identifiers 4

IdentifierTypeStateIssuer
7929DOOtherWAREGENCE BLUE SHIELD
7366432OtherWAAETNA QAFM
91-2145894OtherWACOMMERCIAL QAFM
91-2145894OtherWAPREMERA BLUE CROSS QAFM

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Queen Anne Family Medicine Inc PS Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1811087109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33077 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873109",
            "telephone_number": "510-248-1500",
            "fax_number": "510-248-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33077 ALVARADO NILES RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873109",
            "telephone_number": "510-248-1500",
            "fax_number": "510-248-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORKIN",
        "first_name": "GEORGINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-15",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "17874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "7929DO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA QAFM",
            "identifier": "7366432",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL QAFM",
            "identifier": "91-2145894",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS QAFM",
            "identifier": "91-2145894",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.