Ismael B. Nacino MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A44650 Issued in CA

Legal business name

ISMAEL B. NACINO MD INC

Practice address

21530 Pioneer BL
Hawaiian Garden, CA 90716

Phone

(909) 594-7110

Fax

(909) 594-2057

NPI assigned

Feb 21, 2012

Organization subpart

No

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

Authorized official

Name

Ismael B Nacino, MD

Title

MD

Phone

(909) 594-7110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reynaldo Santos, MD

  • Anesthesiology Physician
  • Fairless Hills, PA
  • NPI 1083640148

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1194098210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19777 E. COUNTRY HALLOW DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "91789",
            "telephone_number": "909-594-7110",
            "fax_number": "909-594-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21530 PIONEER BL",
            "city": "HAWAIIAN GARDEN",
            "state": "CA",
            "postal_code": "90716",
            "telephone_number": "909-594-7110",
            "fax_number": "909-594-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAEL B. NACINO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "NACINO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-594-7110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A44650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.