Active NPI
Gulnoza Razikova
- Family Nurse Practitioner
- Walnut Creek, CA
National Provider Identifier
1376228452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95015941
- Practice address
- 1551 Civic Dr
Walnut Creek, CA 94596-4101 - Phone
- (925) 999-1260
- NPI assigned
- Jun 16, 2023
- 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 | 95015941 | CA | Primary |
Addresses
Primary practice location
1551 Civic Dr
Walnut Creek, CA 94596-4101
Mailing address
21081 Highlander
Lake Forest, CA 92630-7228
Phone (609) 815-4822
Other practice location 1
1445 Burlingame Ave
Burlingame, CA 94010-4110
Phone (650) 487-8880
Other practice location 2
1112 Galleria Blvd Ste 160
Roseville, CA 95678-3507
Phone (916) 527-8738
Other practice location 3
6511 E Pacific Coast Hwy Ste G2A
Long Beach, CA 90803-4250
Phone (562) 800-0988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95015941 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1376228452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21081 HIGHLANDER",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926307228",
"telephone_number": "609-815-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 CIVIC DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945964101",
"telephone_number": "925-999-1260"
}
],
"practiceLocations": [
{
"address_1": "1445 Burlingame Ave",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940104110",
"country_code": "US",
"telephone_number": "650-487-8880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1112 Galleria Blvd Ste 160",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "CA",
"postal_code": "956783507",
"country_code": "US",
"telephone_number": "916-527-8738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6511 E Pacific Coast Hwy Ste G2A",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908034250",
"country_code": "US",
"telephone_number": "562-800-0988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZIKOVA",
"first_name": "GULNOZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-16",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95015941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.