Individual provider Active NPI

Nazir Noor, MD

  • Interventional Pain Medicine Physician
  • Emeryville, CA
National Provider Identifier
1003302829
Registry record updated Oct 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A178788 Issued in CA
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

Updated by the provider on Oct 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231113001816 CA Practitioner - Interventional Pain Management 1052795218 Reassigns benefits to 1 organization

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
Pain and Rehabilitative Consultants Medical GroupGroup PAC ID 0345138392, 7 clinicians

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

LicenseStateTypeSpecialty
A178788CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Rehabilitative Consultants Medical Group Interventional Pain Medicine CurrentSince Oct 1, 2023 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.

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

Verify at the official NPI Registry.