Active NPI
Douglas B Lurie, M.D.
- Surgery Physician
- Woodland, CA
National Provider Identifier
1922028141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G65033
- Practice address
- 1321 Cottonwood St
Suite 203
Woodland, CA 95695-5131 - Phone
- (530) 666-1631
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G65033 | CA | Primary |
| Vascular Surgery Physician | 2086S0129X | G65033 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | G65033 | CA |
Addresses
Primary practice location
1321 Cottonwood St
Suite 203
Woodland, CA 95695-5131
Mailing address
1321 Cottonwood St
Suite 203
Woodland, CA 95695-5131
Phone (530) 666-1631
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G650330 | Medicaid | CA | |
| 020030749 | Other | CA | RR MEDICARE |
| 00G650330 | Other | CA | BLUE SHIELD |
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 |
|---|---|---|---|
| G65033 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299110400000",
"number": "1922028141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 COTTONWOOD ST",
"address_2": "SUITE 203",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955131",
"telephone_number": "530-666-1631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 COTTONWOOD ST",
"address_2": "SUITE 203",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956955131",
"telephone_number": "530-666-1631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LURIE",
"first_name": "DOUGLAS",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2011-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G65033",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G65033",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "G65033",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G650330",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "020030749",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G650330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.