Active NPI
Nancy Kazan, NP
- Family Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 18108
- Practice address
- 1057 Pine Ave
Long Beach, CA 90813-3118 - Phone
- (562) 366-5900
- Fax
- (562) 366-5920
- NPI assigned
- Aug 28, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18108 | CA | Primary |
Addresses
Primary practice location
1057 Pine Ave
Long Beach, CA 90813-3118
Mailing address
1057 Pine Ave
Long Beach, CA 90813-3118
Phone (562) 366-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70992F | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460
19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050
26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107
5341 Warner Ave
Huntington Beach, CA 92649-4078
Phone (714) 477-8450
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18108 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Hoag Clinic | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| HMTS, Inc | Current | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients |
Locations
26671 Aliso Creek Rd
Ste 101
Aliso Viejo, CA 92656
Phone (949) 360-0330
1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000
824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706
16205 Sand Canyon Ave
Ste 100
Irvine, CA 92618
Phone (949) 557-0000
500 Alamitos Ave
Long Beach, CA 90802
Phone (310) 432-5661
2925 Palo Verde Ave
Long Beach, CA 90815
Phone (562) 421-2757
510 Superior Ave
Ste 290
Newport Beach, CA 92663
Phone (949) 764-4500
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
Interoperability endpoints
- nancykazan@hcpca.allscriptsdirect.net
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1326828575
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1659312593
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1366690778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1057 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133118",
"telephone_number": "562-366-5900",
"fax_number": "562-366-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1057 PINE AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908133118",
"telephone_number": "562-366-5900",
"fax_number": "562-366-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZAN",
"first_name": "NANCY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "18108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70992F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.