Individual provider Active NPI

Albert Brian Doornik, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Salinas, CA
National Provider Identifier
1912933953
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G63161 Issued in CA
Practice address
611 Abbott St Ste 101
Salinas, CA 93901-4314
Phone
(831) 757-3041
Fax
(831) 757-4612
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G63161 CA Primary

Addresses

Primary practice location

611 Abbott St Ste 101
Salinas, CA 93901-4314

Mailing address

611 Abbott St Ste 101
Salinas, CA 93901-4314
Phone (831) 757-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G63161CAMDSports Medicine (Orthopaedic Surgery) Physician
63161CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: adoornik@direct.precision.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1912933953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014314",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ABBOTT ST STE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014314",
            "telephone_number": "831-757-3041",
            "fax_number": "831-757-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOORNIK",
        "first_name": "ALBERT",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G63161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.