Individual provider Active NPI

David Ernest Thorburn, M.D.

  • Ophthalmic Technician/Technologist
  • Turlock, CA
National Provider Identifier
1831294651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
License
G370690 Issued in CA
Practice address
2161 Colorado Ave
Suite B
Turlock, CA 95382-2011
Phone
(209) 667-2250
Fax
(209) 667-2560
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Technician/Technologist 156FX1100X G370690 CA Primary

Addresses

Primary practice location

2161 Colorado Ave
Suite B
Turlock, CA 95382-2011

Mailing address

2161 Colorado Ave
Suite B
Turlock, CA 95382-2011
Phone (209) 667-2250

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

LicenseStateTypeSpecialty
G370690CAMDOphthalmic Technician/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831294651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 COLORADO AVE",
            "address_2": "SUITE B",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822011",
            "telephone_number": "209-667-2250",
            "fax_number": "209-667-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 COLORADO AVE",
            "address_2": "SUITE B",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822011",
            "telephone_number": "209-667-2250",
            "fax_number": "209-667-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORBURN",
        "first_name": "DAVID",
        "middle_name": "ERNEST",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "CA",
            "license": "G370690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.