Active NPI
Cynthia Nelson, D.O.
- Family Medicine Physician
- Hollister, CA
National Provider Identifier
1154437366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A8389
- Practice address
- 930 Sunset Dr
Building 1, Suite a
Hollister, CA 95023-5780 - Phone
- (831) 637-5873
- Fax
- (831) 637-1290
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A8389 | CA | Primary |
Addresses
Primary practice location
930 Sunset Dr
Building 1, Suite a
Hollister, CA 95023-5780
Mailing address
1760 Airline Hwy
Suite F., PMB 157
Hollister, CA 95023-5634
Phone (831) 637-5873
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A8389 | CA | MD | Family Medicine Physician |
| 30020 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154437366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 AIRLINE HWY",
"address_2": "SUITE F., PMB 157",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235634",
"telephone_number": "831-637-5873",
"fax_number": "831-637-1290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 SUNSET DR",
"address_2": "BUILDING 1, SUITE A",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950235780",
"telephone_number": "831-637-5873",
"fax_number": "831-637-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CYNTHIA",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A8389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.