Individual provider Active NPI

Nazneen Uddin, M.D.

  • Family Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1023456761
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A133267 Issued in CA
Practice address
1220 Rossmoor Pkwy
Walnut Creek, CA 94595-2501
Phone
(925) 947-3312
Fax
(925) 947-3396
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A133267 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1220 Rossmoor Pkwy
Walnut Creek, CA 94595-2501

Mailing address

1450 Treat Blvd
300
Walnut Creek, CA 94597-2168

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, OK3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20161028001622 CA Practitioner - Family Practice 9436437209 Reassigns benefits to 4 organizations
I20220517002058 TX Practitioner - Family Practice 9436437209 Reassigns benefits to 1 organization
I20240918001367 OK Practitioner - Emergency Medicine 9436437209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1400 8TH Ave
Fort Worth, TX 76104-4110

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440

2400 N I
Suite 35
Waxahachie, TX 75165-5240
Phone (817) 922-1770

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133267CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara Family Medicine CurrentSince Jul 21, 2021 Accepting new patients
University of California SFGH Medical Group Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
County of Santa Clara CurrentSince Jul 21, 2021 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Healthtexas Provider Network Family Medicine CurrentSince May 9, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
Healthtexas Provider Network CurrentSince May 9, 2022 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Ies HSP Oklahoma LLC CurrentSince Aug 5, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Family Medicine CurrentSince May 1, 2018 Accepting new patients
University of California SFGH Medical Group CurrentSince Mar 1, 2020 Accepting new patients
John Muir Physician Network CurrentSince Oct 10, 2016 Accepting new patients
Baylor Medical Center at Waxahachie Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1001 Potrero Ave
Bldg 80
San Francisco, CA 94110
Phone (628) 206-8610

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: nuddin939242@direct.sw.org
  • Direct secure messaging: nazneen.uddin.1@18822.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1023456761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD",
            "address_2": "300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 ROSSMOOR PKWY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952501",
            "telephone_number": "925-947-3312",
            "fax_number": "925-947-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDDIN",
        "first_name": "NAZNEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A133267",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.