Active NPI
Deborah Ann Brown, M.D.
- Pediatrics Physician
- Truckee, CA
National Provider Identifier
1821094855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C043230
- Practice address
- 10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860 - Phone
- (530) 587-3523
- Fax
- (530) 587-1004
- NPI assigned
- Jun 23, 2005
- Last updated
- Jan 8, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C043230 | CA | Primary |
Addresses
Primary practice location
10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860
Mailing address
10956 Donner Pass Rd
Ste 130
Truckee, CA 96161-4860
Phone (530) 587-3523
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZHCPP486 | Other | CA | BLUE CROSS OF CALIFORNIA |
| ZZZ52949Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 260026968 | Other | CA | TAX IDENTIFICATION NUMBER |
| GR0075020 | 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 |
|---|---|---|---|
| C043230 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1821094855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "STE 130",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614860",
"telephone_number": "530-587-3523",
"fax_number": "530-587-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10956 DONNER PASS RD",
"address_2": "STE 130",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961614860",
"telephone_number": "530-587-3523",
"fax_number": "530-587-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C043230",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "ZHCPP486",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ52949Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NUMBER",
"identifier": "260026968",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0075020",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.