Active NPI
Nazir Noor, MD
- Interventional Pain Medicine Physician
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A178788
- Practice address
- 1335 Stanford Ave
Emeryville, CA 94608-2536 - Phone
- (510) 647-5101
- NPI assigned
- Jul 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | A178788 | CA | Primary |
Addresses
Primary practice location
1335 Stanford Ave
Emeryville, CA 94608-2536
Mailing address
100 Lincoln Rd Apt 901
Miami Beach, FL 33139-2013
Other practice location 1
4627 Fermi Pl
Davis, CA 95618-9405
Phone (510) 647-5101
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Florida International Univ, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 647-5101
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178788 | CA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Rehabilitative Consultants Medical Group | Interventional Pain Medicine | Current | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
20100 Lake Chabot Rd
Ste 2
Castro Valley, CA 94546
Phone (510) 581-1484
255 W Bullard Ave
Ste 113
Clovis, CA 93612
Phone (209) 298-7975
4627 Fermi Pl
Davis, CA 95618
1335 Stanford Ave
Emeryville, CA 94608
Phone (510) 649-7000
13980 Blossom Hill Rd
Ste B
Los Gatos, CA 95032
Phone (408) 445-8400
1640 W Yosemite Ave
Ste 2
Manteca, CA 95337
345 Hickory St
Red Bluff, CA 96080
Phone (530) 529-4190
5789 State Farm Dr
Ste 195
Rohnert Park, CA 94928
Phone (707) 645-7210
87 Scripps Dr
Ste 200
Sacramento, CA 95825
Phone (916) 436-3015
3075 Citrus Cir
Ste 200
Walnut Creek, CA 94598
Phone (925) 407-8100
Organizations & group practices 2
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.
-
- Interventional Pain Medicine Physician
- Emeryville, CA
- NPI 1952466963
-
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696118400000",
"number": "1003302829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LINCOLN RD APT 901",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331392013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 STANFORD AVE",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082536",
"telephone_number": "510-647-5101"
}
],
"practiceLocations": [
{
"address_1": "4627 Fermi Pl",
"address_purpose": "LOCATION",
"city": "Davis",
"state": "CA",
"postal_code": "956189405",
"country_code": "US",
"telephone_number": "510-647-5101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOOR",
"first_name": "NAZIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-04",
"last_updated": "2023-10-01",
"certification_date": "2023-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A178788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.