NPIMap

Individual provider Active NPI

Abdul W Nuristani, M.D.

  • Nephrology Physician
  • Sacramento, CA
National Provider Identifier
1245467273
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A121191 Issued in CA
Practice address
2288 Auburn Blvd Ste 105
Sacramento, CA 95821-1619
Phone
(916) 500-4706
Fax
(916) 200-4999
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 121191 CA
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A121191 CA Primary

Addresses

Primary practice location

2288 Auburn Blvd Ste 105
Sacramento, CA 95821-1619

Mailing address

PO Box 980934
West Sacramento, CA 95798-0934
Phone (916) 500-4706

Other identifiers 1

IdentifierTypeStateIssuer
1194242313MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121121000071 CA Practitioner - Internal MedicinePractitioner - Nephrology 5698926616 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Oregon Health & Sciences Univ School of Dentistry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1736 Professional Dr
Sacramento, CA 95825-2105
Phone (916) 500-4706

2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000

Hospital & facility affiliations

  • Dci University Dialysis Clinic Dialysis facility, Sacramento, CA, CCN 052676
  • Southgate Dialysis Dialysis facility, Sacramento, CA, CCN 052711
  • Dci Madison Dialysis Clinic Dialysis facility, Sacramento, CA, CCN 052796
  • Fresenius Kidney Care South Sacramento Dialysis Dialysis facility, Sacramento, CA, CCN 752550
  • Dci Rancho Dialysis Clinic Dialysis facility, Sacramento, CA, CCN 552519
  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • Sutter Care at Home Hospice, Roseville, CA, CCN 051652
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Multi-Specialty CurrentSince Mar 1, 2016 Accepting new patients
Inpatient Specialists of California, PC Multi-Specialty CurrentSince Mar 1, 2016 Accepting new patients
Orohealth Corporation a Non Profit Healthcare System Multi-Specialty CurrentSince Sep 4, 2018 Accepting new patients
California Kidney Disease Associates Multi-Specialty CurrentSince Sep 23, 2017 Accepting new patients
Sutter Coast Hospital Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients
Sutter North Medical Foundation PastSince Jun 28, 2020 Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Sutter Valley Hospitals Multi-Specialty Past Accepting new patients

Locations

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2971 Olive Hwy
Oroville, CA 95966
Phone (530) 534-6300

2981 Olive Hwy
Oroville, CA 95966
Phone (530) 533-4500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

508 Gibson Dr
Ste 110
Roseville, CA 95678
Phone (916) 783-1080

729 Sunrise Ave
Ste 610
Roseville, CA 95661
Phone (916) 783-7533

2211 Park Towne Cir
Sacramento, CA 95825
Phone (916) 333-5977

2211 Park Towne Cir
Ste 1
Sacramento, CA 95825
Phone (916) 333-5977

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1736 Professional Dr
Sacramento, CA 95825
Phone (916) 485-4249

2288 Auburn Blvd
Ste 105
Sacramento, CA 95821
Phone (916) 500-4706

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: anuristani309651@hisp.ehr.sutterhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1245467273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 980934",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "957980934",
            "telephone_number": "916-500-4706",
            "fax_number": "916-200-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2288 AUBURN BLVD STE 105",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958211619",
            "telephone_number": "916-500-4706",
            "fax_number": "916-200-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURISTANI",
        "first_name": "ABDUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 121191",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A121191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194242313",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.