Genadi Asenov, NP
Individual provider Active NPI Nurse Practitioner · Martinez, CA
NPI 1093497315 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1093497315
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 95023928 (CA)
- Practice address
- 150 Muir Rd
BLDG. 21, 2ND Floor, Room E210 - Occupational Health
Martinez, CA 94553-4668 - Phone
- (925) 370-4180
- NPI assigned
- Aug 4, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95023928 | CA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95023928 | CA | Yes |
Addresses
Primary practice location
150 Muir Rd
BLDG. 21, 2ND Floor, Room E210 - Occupational Health
Martinez, CA 94553-4668
Mailing address
150 Muir Rd
Martinez, CA 94553-4668
Phone (925) 370-4180
Other providers in Martinez, CA
- Melodie A Armstrong
- Neary Arpajirakul
- Nikeisha Arrington
- Vicente B. Arroz
- Linda J. Arzio
- Zenaida Patricio Asiain
- Nadia Aslam
- Aster Garden Care Home
- Aster Gardens Care Home Inc.
- Gloria Asuncion
All providers in Martinez, CA · Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.