Alexandra Nur Ozder

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

865 Patriot Dr
Moorpark, CA 93021-3407

Phone

(805) 532-2032

NPI assigned

Jun 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631318400000",
    "number": "1164047338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 BLOSSOM CT",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913205908",
            "telephone_number": "805-405-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 PATRIOT DR",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213407",
            "telephone_number": "805-532-2032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Club Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945921187",
            "country_code": "US",
            "telephone_number": "805-405-4309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZDER",
        "first_name": "ALEXANDRA",
        "middle_name": "NUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2021-09-11",
        "certification_date": "2021-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ardalan Alen Nourian, MD
• Ali A Novin-Baheran, RPH
• Maria Virginia Nunez Ibarra, RD
• Jeffrey Oakes, NCC, LSC, THM, MS,
• Daniel Oksun-Okah
• Anne Palacios, RN
• Brijesh J Patel, M.D., D.D.S
• Paul H Jang DDS Inc
• Paul K. Takemoto, D.D.S., Professional Corporation
• Pdap of Ventura County, Inc.

• Medical Physician Assistant in Moorpark, CA
• Providers in Moorpark, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; 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.