Individual provider Active NPI

Morad Nasseri, M.D.

  • Neurology Physician
  • Walnut Creek, CA
National Provider Identifier
1154615565
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A172982 Issued in CA
Practice address
450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone
(925) 691-9806
Fax
(925) 691-9807
NPI assigned
Jun 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A172982 CA
Neurology Physician 2084N0400X A172982 CA Primary

Addresses

Primary practice location

450 N Wiget LN
Walnut Creek, CA 94598-2408

Mailing address

PO Box 888584
Los Angeles, CA 90088-8584
Phone (925) 691-9806

Other names 1

  • Morad Nasseri Nowsar Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210729000864 CA Practitioner - NeurologyPractitioner - Interventional Pain Management 8123271285 Reassigns benefits to 1 organization
I20210817000541 MI Practitioner - Neurology 8123271285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Interventional Pain Management
Education
Oregon Health Sciences University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Management Medical Group IncGroup PAC ID 0547252918, 42 clinicians

Practice addresses (Care Compare)

450 N Wiget LN
Walnut Creek, CA 94598-2408
Phone (925) 482-8151

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • Sutter Delta Medical Center Hospital, Antioch, CA, CCN 050523

Merit-based Incentive Payment System (MIPS)

Final score
21.59 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
71.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172982CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northland Radiology Inc Neurology CurrentSince Jul 1, 2021 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Northland Radiology Inc. Interventional Pain Medicine CurrentSince Jul 1, 2021 Accepting new patients
John Muir Health Interventional Pain Medicine Past Accepting new patients
John Muir Health Interventional Pain Medicine Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

4530 Balfour Rd
Ste E
Brentwood, CA 94513

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

454 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 482-8111

26222 Telegraph Rd
Ste 100
Southfield, MI 48033
Phone (248) 827-3024

26222 Telegraph Rd
Southfield, MI 48033
Phone (248) 827-2557

20905 Greenfield Rd
Ste 105
Southfield, MI 48075
Phone (248) 569-0296

20905 Greenfield Rd
Ste 406M
Southfield, MI 48075
Phone (248) 513-8229

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

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": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1154615565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 888584",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900888584",
            "telephone_number": "925-691-9806",
            "fax_number": "925-691-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N WIGET LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982408",
            "telephone_number": "925-691-9806",
            "fax_number": "925-691-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSERI",
        "first_name": "MORAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A172982",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A172982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MORAD",
            "last_name": "NASSERI NOWSAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.