Individual provider Active NPI

Nasim Fazel, MD, DDS

  • Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1376592105
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A83700 Issued in CA
Practice address
3301 C St
Ste. 1300
Sacramento, CA 95816-3300
Phone
(916) 734-6876
Fax
(916) 442-5702
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A83700 CA Primary

Addresses

Primary practice location

3301 C St
Ste. 1300
Sacramento, CA 95816-3300

Mailing address

3301 C St
Ste. 1300
Sacramento, CA 95816-3300
Phone (916) 734-6876

Other practice location 1

9781 Blue Larkspur Ln
Monterey, CA 93940-6509
Phone (831) 333-9008

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040130001103 CA Practitioner - Dermatology 5698678191 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

Practice addresses (Care Compare)

1441 Avocado Ave
Suite 806
Newport Beach, CA 92660-7709
Phone (949) 751-6683

400 Newport Ctr Dr
Suite 702
Newport Beach, CA 92660-7669
Phone (949) 644-0101

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision27
Removal of skin lesions1584
Removal or shaving of skin growth1-10
Skin biopsy612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of Ca CurrentSince Aug 26, 2009 Accepting new patients
Regents of the Univ of Ca CurrentSince Jan 1, 2004 Accepting new patients
Regents of the University of California CurrentSince Aug 26, 2009 Accepting new patients
Csi Medical Group Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca Dermatology CurrentSince Jan 1, 2004 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince May 1, 2023 Accepting new patients
Silverberg MD a Professional Corporation PastSince Jun 21, 2009 Accepting new patients
J. Robert West, M.D., Inc Dermatology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

251 Turn Pike Dr
Folsom, CA 95630
Phone (916) 985-9300

9781 Blue Larkspur Ln
Monterey, CA 93940
Phone (831) 333-9008

9781 Blue Larkspur Ln
Ste 100
Monterey, CA 93940
Phone (831) 333-9008

1441 Avocado Ave
Ste 806
Newport Beach, CA 92660
Phone (949) 718-1222

1401 Avocado Ave
Ste 703
Newport Beach, CA 92660
Phone (949) 751-6683

400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2400 Del Paso Rd
Ste 145
Sacramento, CA 95834
Phone (916) 928-3940

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

1300 Avenida Vista Hermosa
Ste 150
San Clemente, CA 92673
Phone (949) 361-6623

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nfazel@csinorthca.emadirect.md
  • Direct secure messaging: nfazel221328@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1376592105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "STE. 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6876",
            "fax_number": "916-442-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST",
            "address_2": "STE. 1300",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163300",
            "telephone_number": "916-734-6876",
            "fax_number": "916-442-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9781 Blue Larkspur Ln",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939406509",
            "country_code": "US",
            "telephone_number": "831-333-9008",
            "fax_number": "831-333-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZEL",
        "first_name": "NASIM",
        "name_prefix": "Dr.",
        "credential": "MD, DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A83700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.