Active NPI
Ozra Eslampanah Nobari, M.D.
- Child & Adolescent Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1336521368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A157886
- Practice address
- 7700 Folsom Blvd
Sacramento, CA 95826-2608 - Phone
- (949) 910-3316
- Fax
- (323) 370-0426
- NPI assigned
- Jun 25, 2015
- Last updated
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A157886 | CA | Primary |
Addresses
Primary practice location
7700 Folsom Blvd
Sacramento, CA 95826-2608
Mailing address
PO Box 582552
Elk Grove, CA 95758-0043
Phone (949) 910-3316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160725002190 | MN | Order and Referring Only - Psychiatry | 9436442753 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A157886 | CA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hammad Khan M D Inc | Past | Accepting new patients |
Interoperability endpoints
- onobari456473@hisp.ehr.sutterhealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba California Neuro Psych Associates
- Psychiatry Physician
- Sacramento, CA
- NPI 1790401974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1336521368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 582552",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957580043",
"telephone_number": "949-910-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 FOLSOM BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958262608",
"telephone_number": "949-910-3316",
"fax_number": "323-370-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESLAMPANAH NOBARI",
"first_name": "OZRA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A157886",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.