Organization Active NPI

Nasrin Naimi MD Inc

  • Anesthesiology Physician
  • Fremont, CA
National Provider Identifier
1295091825
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NASRIN NAIMI MD INC
Practice address
2299 Mowry Ave
Floor 1
Fremont, CA 94538-1621
Phone
(510) 791-5374
Fax
(510) 790-8916
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nasrin Siddiq Naimi, MDNPI 1922054311
Title
Sole Proprietor
Phone
(510) 791-5374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X CA Primary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X CA

Addresses

Primary practice location

2299 Mowry Ave
Floor 1
Fremont, CA 94538-1621

Mailing address

PO Box 211638
Augusta, GA 30917-1638
Phone (706) 860-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120620000569 CA Part B Supplier - Clinic/Group Practice 5193989291 Receives reassigned benefits from 1 practitioner
Practice locations: Fremont, CA

National Provider Directory

National Provider Directory

Locations

2299 Mowry Ave
Fl 1
Fremont, CA 94538
Phone (510) 791-5374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295091825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211638",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309171638",
            "telephone_number": "706-860-2701",
            "fax_number": "706-860-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "FLOOR 1",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-791-5374",
            "fax_number": "510-790-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASRIN NAIMI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NAIMI",
        "authorized_official_first_name": "NASRIN",
        "authorized_official_middle_name": "SIDDIQ",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "510-791-5374",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.