NPIMap

Jerrold E Nadler, MD

Individual provider Active NPI Primary Care Clinic/Center · Arnold, CA

NPI 1164517652 · NPPES record last updated Sep 11, 2025

Key facts

NPI
1164517652
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
G22714 (CA)
Practice address
2182 Highway 4
Arnold, CA 95223
Phone
(209) 795-4193
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G22714CAMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Dameron Hospital Association Past Accepting new patients
Mark Twain Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G22714 CA
Primary Care Clinic/Center 261QP2300X G22714 CA Yes

Addresses

Primary practice location

2182 Highway 4
Arnold, CA 95223

Mailing address

PO Box 1372
Murphys, CA 95247-1372
Phone (209) 728-2554

Other providers in Arnold, CA

All providers in Arnold, CA · Primary Care Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.