Organization Active NPI

Theodore R. Nassar MD, Facog, Inc

  • Obstetrics & Gynecology Physician
  • Madera, CA
National Provider Identifier
1356568034
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
207VX0000 Issued in CA
Legal business name
THEODORE R. NASSAR MD, FACOG, INC
Practice address
126 W Olive Ave Ste 101
Madera, CA 93637-3200
Phone
(559) 674-0917
Fax
(559) 674-3104
NPI assigned
Apr 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Mrs. Aida Nassar, BA
Title
Office Manger
Phone
(559) 674-0917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 207VX0000 CA Primary

Addresses

Primary practice location

126 W Olive Ave Ste 101
Madera, CA 93637-3200

Mailing address

363 E Almond Ave
Suite 101
Madera, CA 93637
Phone (559) 674-0917

National Provider Directory

National Provider Directory

Locations

363 E Almond Ave
Ste 101
Madera, CA 93637
Phone (559) 674-0917

126 W Olive Ave
Ste 101
Madera, CA 93637
Phone (559) 674-0917

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1356568034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 E ALMOND AVE",
            "address_2": "SUITE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93637",
            "telephone_number": "559-674-0917",
            "fax_number": "559-674-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W OLIVE AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936373200",
            "telephone_number": "559-674-0917",
            "fax_number": "559-674-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE R. NASSAR MD, FACOG, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "AIDA",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "559-674-0917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "207VX0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.