Individual provider Active NPI

Nancy B. Murray, M.D.

  • Procedural Dermatology Physician
  • Coronado, CA
National Provider Identifier
1124021779
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
G057715 Issued in CA
Practice address
230 Prospect PL
Ste 260
Coronado, CA 92118-1987
Phone
(619) 437-1146
Fax
(619) 437-1912
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X G057715 CA Primary

Addresses

Primary practice location

230 Prospect PL
Ste 260
Coronado, CA 92118-1987

Mailing address

230 Prospect PL
Ste 260
Coronado, CA 92118-1987
Phone (619) 437-1146

Other names 1

  • Dr. Nancy B. Murray Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G057715CAMDProcedural Dermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297296000000",
    "number": "1124021779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "STE 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181987",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PROSPECT PL",
            "address_2": "STE 260",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921181987",
            "telephone_number": "619-437-1146",
            "fax_number": "619-437-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "NANCY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2011-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "G057715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MURRAY",
            "middle_name": "B.",
            "prefix": "DR.",
            "credential": "M,.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Coronado, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.