Organization Active NPI

Narges Pazouki MD a Medical Corporation

  • Neurology Physician
  • Turlock, CA
National Provider Identifier
1235334129
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A86591 Issued in CA
Legal business name
NARGES PAZOUKI MD A MEDICAL CORPORATION
Practice address
1801 Colorado Ave
Ste 210
Turlock, CA 95382-2706
Phone
(209) 216-3571
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Authorized official

Name
Lauren Sneed
Title
Provider Relations
Phone
(209) 575-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A86591 CA Primary

Addresses

Primary practice location

1801 Colorado Ave
Ste 210
Turlock, CA 95382-2706

Mailing address

PO Box 4398
Modesto, CA 95352-4398
Phone (209) 575-4575

Other identifiers 1

IdentifierTypeStateIssuer
00A865910MedicaidCA

National Provider Directory

National Provider Directory

Locations

1801 Colorado Ave
Ste 210
Turlock, CA 95382
Phone (209) 216-3571

2141 Colorado Ave
Turlock, CA 95382
Phone (209) 634-2600

NPI Registry JSON

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1235334129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524398",
            "telephone_number": "209-575-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 COLORADO AVE",
            "address_2": "STE 210",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822706",
            "telephone_number": "209-216-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARGES PAZOUKI MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "SNEED",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "PROVIDER RELATIONS",
        "authorized_official_telephone_number": "209-575-4575"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A86591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A865910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.