Douglas Beernink, MD
Individual provider Active NPI Ophthalmology Physician · Cameron Park, CA
NPI 1992883656 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1992883656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- A23433 (CA)
- Practice address
- 440 Cragmont CT
Cameron Park, CA 95682-8162 - Phone
- (530) 672-8780
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A23433 | CA | MD | Ophthalmology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A23433 | CA | Yes |
Addresses
Primary practice location
440 Cragmont CT
Cameron Park, CA 95682-8162
Mailing address
PO Box 2030
Folsom, CA 95763-2030
Phone (530) 672-8780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A234330 | Medicaid | CA |
Other providers in Cameron Park, CA
- Natasha Bahm
- Laura M Bailey
- Harprit K Bajwa
- Franklin Banker
- Elaine Angela Barrios
- Alison J. Bevan
- Navjot Kaur Bisla
- Bita K. Naji, M.D., P.C
- Mark N Blatt
- Sharon Marie Booth
All providers in Cameron Park, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.