Nourollah Danialypour, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

00A411140 Issued in CA

Practice address

5708 Watt Avenue
North Highlands, CA 95660

Phone

(916) 344-8866

Fax

(916) 344-3979

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Elica Health Centers

  • Federally Qualified Health Center (FQHC)
  • North Highlands, CA
  • NPI 1851893077
  NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1245304856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 WATT AVENUE",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "95660",
            "telephone_number": "916-344-8866",
            "fax_number": "916-344-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 WATT AVENUE",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "95660",
            "telephone_number": "916-344-8866",
            "fax_number": "916-344-3979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Watt Avenue",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "95660",
            "country_code": "US",
            "telephone_number": "916-344-8866",
            "fax_number": "916-344-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIALYPOUR",
        "first_name": "NOUROLLAH",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "00A411140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE",
            "identifier": "00A411140",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8624117",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Sacramento
• Shaunda Crane, FNP
• Sandra Jean Cretney, MFTI
• Crosspoint Residential LLC
• Ryan Cumby, D.D.S.
• David Park Dental Corp.
• Chakia Davies
• Andrea Dawson, PPS
• Desire Yvette Deane-Hanson, P.P.S./PASC
• Vicki Jean Dekay

• General Practice Physician in North Highlands, CA
• Providers in North Highlands, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.