Individual provider Active NPI

Nazineh Nezhad Huff, MD

  • Psychiatry Physician
  • Corte Madera, CA
National Provider Identifier
1255522264
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A100222 Issued in CA
Practice address
45 San Clemente Dr
Ste D-230C
Corte Madera, CA 94925-1244
Phone
(415) 830-4833
Fax
(415) 534-0826
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A100222 CA Primary

Addresses

Primary practice location

45 San Clemente Dr
Ste D-230C
Corte Madera, CA 94925-1244

Mailing address

45 San Clemente Dr
Ste D230C
Corte Madera, CA 94925-1244
Phone (415) 830-4833

Other identifiers 1

IdentifierTypeStateIssuer
0A1002220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 23, 2019 through Oct 23, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1255522264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "STE D230C",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244",
            "telephone_number": "415-830-4833",
            "fax_number": "415-534-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 SAN CLEMENTE DR",
            "address_2": "STE D-230C",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251244",
            "telephone_number": "415-830-4833",
            "fax_number": "415-534-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "NAZINEH",
        "middle_name": "NEZHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A100222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1002220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corte Madera, CA

Sources for this page

Verify at the official NPI Registry.