Individual provider Active NPI

Naveed M Natanzi, DO

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
National Provider Identifier
1184068926
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A12989 Issued in CA
Practice address
Synovation Medical Group
1017 S. Fair Oaks Avenue
Pasadena, CA 91105
Phone
(626) 403-6200
NPI assigned
Apr 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 20A12989 CA Primary

Addresses

Primary practice location

Synovation Medical Group
1017 S. Fair Oaks Avenue
Pasadena, CA 91105

Mailing address

969 Hilgard Ave
Apt 709
Los Angeles, CA 90024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160825002490 CA Practitioner - Physical Medicine and Rehabilitation 0143538785 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12989CAMDPhysical Medicine & Rehabilitation Physician
12989CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tova Surgical Center Corporation Current Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Aug 9, 2017 Accepting new patients
Marko Bodor MD a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Jul 25, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation CurrentSince Aug 9, 2017 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation Current Accepting new patients

Locations

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

3421 Villa Ln
Ste 2B
Napa, CA 94558
Phone (707) 255-5454

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1184068926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 HILGARD AVE",
            "address_2": "APT 709",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SYNOVATION MEDICAL GROUP",
            "address_2": "1017 S. FAIR OAKS AVENUE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91105",
            "telephone_number": "626-403-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATANZI",
        "first_name": "NAVEED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A12989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.