Individual provider Active NPI

Kaliyan Bryant, NP

  • Nurse Practitioner
  • Oxnard, CA
National Provider Identifier
1306421656
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95016339 Issued in CA
Practice address
1801 Solar Dr Ste 145
Oxnard, CA 93030-0146
Phone
(805) 744-2141
NPI assigned
Mar 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016339 CA
Nurse Practitioner 363L00000X 95016339 CA Primary

Addresses

Primary practice location

1801 Solar Dr Ste 145
Oxnard, CA 93030-0146

Mailing address

1801 Solar Dr Ste 145
Oxnard, CA 93030-0146

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kaliyan.bryant@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221024000552 CA Practitioner - Nurse Practitioner 0345616926 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95016339CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neda Heidari M.D. Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

1801 Solar Dr
Ste 145
Oxnard, CA 93030
Phone (805) 744-2141

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1306421656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 145",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SOLAR DR STE 145",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300146",
            "telephone_number": "805-744-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KALIYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016339",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95016339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kaliyan.bryant@gmail.com",
            "affiliation": "N",
            "address_1": "1801 Solar Dr Ste 145",
            "city": "Oxnard",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930300146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

Verify at the official NPI Registry.