Active NPI
Dena Rafiq Nasir, MD
- Colon & Rectal Surgery Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- A182239
- Practice address
- 222 W Eulalia St
Glendale, CA 91204-2849 - Phone
- (818) 730-3726
- NPI assigned
- Jun 5, 2019
- Last updated
- Sep 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | A182239 | CA | Primary |
Addresses
Primary practice location
222 W Eulalia St
Glendale, CA 91204-2849
Mailing address
4133 Via Marina Apt 211
Marina del Rey, CA 90292-5360
Phone (818) 730-3726
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
- Colorectal Surgery (Proctology)
- Education
- Oakland Univ, William Beaumont School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Lynch Creek Way
Suite 9B
Petaluma, CA 94954-2356
Phone (707) 763-1575
222 W Eulalia St
Suite 100a
Glendale, CA 91204-2850
Phone (818) 244-8161
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182239 | CA | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Petar Vukasin M D Inc | Colon & Rectal Surgery | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients |
Locations
222 W Eulalia St
Ste 100A
Glendale, CA 91204
Phone (818) 244-8161
106 Lynch Creek Way
Ste 9B
Petaluma, CA 94954
Phone (707) 763-1575
1162 Montgomery Dr
Ste 300
Santa Rosa, CA 95405
Phone (707) 547-5437
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Colon & Rectal Surgery Physician
- Glendale, CA
- NPI 1528359304
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Glendale Memorial Hospital and Health Center
- General Acute Care Hospital
- Glendale, CA
- NPI 1477610640
-
dba Petaluma Valley Hospital
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1083272819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4133 VIA MARINA APT 211",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902925360",
"telephone_number": "818-730-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W EULALIA ST",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042849",
"telephone_number": "818-730-3726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASIR",
"first_name": "DENA",
"middle_name": "RAFIQ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "CA",
"license": "A182239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.