Organization Active NPI

William R. Nesbitt III MD, a Professional Medical Corporation

  • Geriatric Medicine (Family Medicine) Physician
  • Auburn, CA
National Provider Identifier
1992815302
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
G037298 Issued in CA
Legal business name
WILLIAM R. NESBITT III MD, A PROFESSIONAL MEDICAL CORPORATION
Practice address
11600 Education St
Auburn, CA 95602-2468
Phone
(530) 889-8884
Fax
(530) 889-8880
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Dr. William Reynolds Nesbitt III, M.D.
Title
Sole Proprietor, Owner
Phone
(530) 889-8884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X G037298 CA Primary

Addresses

Primary practice location

11600 Education St
Auburn, CA 95602-2468

Mailing address

PO Box 5405
Auburn, CA 95604-5405
Phone (530) 889-8884

National Provider Directory

National Provider Directory

Locations

600 Sunrise Ave
Roseville, CA 95661
Phone (916) 782-3131

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1992815302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5405",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956045405",
            "telephone_number": "530-889-8884",
            "fax_number": "530-889-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 EDUCATION ST",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022468",
            "telephone_number": "530-889-8884",
            "fax_number": "530-889-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. NESBITT III MD, A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "REYNOLDS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR, OWNER",
        "authorized_official_telephone_number": "530-889-8884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G037298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.