Individual provider Active NPI

Kalsang Dolker Dorji, DNP, FNP-BC

  • Family Nurse Practitioner
  • Fairfield, CA
National Provider Identifier
1861056640
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95011586 Issued in CA
Practice address
2458 Hilborn Rd
Fairfield, CA 94534-1072
Phone
(707) 646-5500
NPI assigned
Apr 26, 2019
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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 NP95011586 CA Primary

Addresses

Primary practice location

2458 Hilborn Rd
Fairfield, CA 94534-1072

Mailing address

8495 Freedom LN
Winters, CA 95694-9681
Phone (707) 365-9255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190709000129 CA Practitioner - Nurse Practitioner 3971838335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95011586CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northbay Healthcare Group CurrentSince May 31, 2021 Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

2458 Hilborn Rd
Fairfield, CA 94534
Phone (707) 646-4400

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

421 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 455-3000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1861056640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8495 FREEDOM LN",
            "city": "WINTERS",
            "state": "CA",
            "postal_code": "956949681",
            "telephone_number": "707-365-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 HILBORN RD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341072",
            "telephone_number": "707-646-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORJI",
        "first_name": "KALSANG",
        "middle_name": "DOLKER",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95011586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.