Individual provider Active NPI

Richard A Nusser, MD

  • Pulmonary Disease Physician
  • Oakland, CA
National Provider Identifier
1013979525
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C337330 Issued in CA
Practice address
411 30TH St Ste 314
Oakland, CA 94609-3312
Phone
(510) 465-6800
Fax
(510) 268-0634
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C337330 CA
Nephrology Physician 207RN0300X C337330 CA
Pulmonary Disease Physician 207RP1001X C337330 CA Primary

Addresses

Primary practice location

411 30TH St Ste 314
Oakland, CA 94609-3312

Mailing address

411 30TH St Ste 314
Oakland, CA 94609-3312
Phone (510) 465-6800

Other identifiers 1

IdentifierTypeStateIssuer
00C337330MedicaidCA

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
I20081013000208 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - NephrologyPractitioner - Critical Care (Intensivists) 0042388407 Practice locations: Oakland, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C337330CAMDCritical Care Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1013979525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-465-6800",
            "fax_number": "510-268-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 30TH ST STE 314",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093312",
            "telephone_number": "510-465-6800",
            "fax_number": "510-268-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C337330",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "C337330",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C337330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C337330",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.