Douglas L Folsom, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00G209611 Issued in CA

Practice address

3934 Rocky Point Dr
Antioch, CA 94509-6902

Phone

(925) 978-9643

Fax

(925) 978-9029

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1831260470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 ROCKY POINT DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096902",
            "telephone_number": "925-978-9643",
            "fax_number": "925-978-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3934 ROCKY POINT DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096902",
            "telephone_number": "925-978-9643",
            "fax_number": "925-978-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "DOUGLAS",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "00G209611",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00G209611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "G209610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "ZZZ14143Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G209610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelia Fleury
• Ana Rocio Flores, RD, IBCLC
• Erika Flores
• Lorena Zamora Flores, PSY.D.
• Martin Flores
• Nicholas William Fong, PA-C
• So-Sheung Fong, R.PH.
• William Ely Fonseca
• Kaycee Fonsworth
• Janrey R Fontecha

• Family Medicine Physician in Antioch, CA
• Providers in Antioch, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.