Active NPI
Frank Joseph Nolan, M.D.
- Rheumatology Physician
- Vista, CA
National Provider Identifier
1225053598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- G27560
- Practice address
- 2023 W Vista Way
Suite H
Vista, CA 92083-6030 - Phone
- (760) 724-5800
- Fax
- (760) 724-1617
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | G27560 | CA | Primary |
Addresses
Primary practice location
2023 W Vista Way
Suite H
Vista, CA 92083-6030
Mailing address
2023 W Vista Way
Suite H
Vista, CA 92083-6030
Phone (760) 724-5800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0306940001 | Other | CA | CIGNA |
| ZZZ033142 | Other | CA | BLUE CROSS/BLUE SHIELD |
| G27560 | Other | CA | STATE LICENSE |
| 00G275600 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110429000211 | CA | Practitioner - Rheumatology | 7810993300 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G27560 | CA | MD | Rheumatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1225053598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 W VISTA WAY",
"address_2": "SUITE H",
"city": "VISTA",
"state": "CA",
"postal_code": "920836030",
"telephone_number": "760-724-5800",
"fax_number": "760-724-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 W VISTA WAY",
"address_2": "SUITE H",
"city": "VISTA",
"state": "CA",
"postal_code": "920836030",
"telephone_number": "760-724-5800",
"fax_number": "760-724-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "FRANK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "CA",
"license": "G27560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0306940001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "ZZZ033142",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G27560",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G275600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.