Individual provider Active NPI

Maria Angelica Nazar, PA-C

  • Medical Physician Assistant
  • Metairie, LA
National Provider Identifier
1407322878
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
312952 Issued in LA
Practice address
4315 Houma Blvd Ste 500
Metairie, LA 70006-2942
Phone
(504) 889-5250
Fax
(504) 889-5248
NPI assigned
Oct 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 312952 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 500
Metairie, LA 70006-2942

Mailing address

4204 Saint Ann Dr
Kenner, LA 70065-1651
Phone (504) 338-7748

Other identifiers 1

IdentifierTypeStateIssuer
2515144MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191217001776 LA Practitioner - Physician Assistant 2668806142 Reassigns benefits to 6 organizations
I20250603002902 OR Practitioner - Physician Assistant 2668806142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

10221 SE Sunnyside Rd
Clackamas, OR 97015-9782
Phone (864) 664-3984

2400 E Burnside St
Portland, OR 97214-1752
Phone (864) 664-3984

3060 SE Hawthorne Blvd
Portland, OR 97214-4121
Phone (864) 664-3984

4415 SE Woodstock Blvd
Portland, OR 97206-6271
Phone (864) 664-3984

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
312952LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince May 24, 2022 Accepting new patients
Zoomcare Urgent Care LLC PastSince Aug 6, 2023 Accepting new patients
Zoomcare PC Past Accepting new patients

Locations

301 Rue de Sante
La Place, LA 70068
Phone (985) 652-2441

4224 Houma Blvd
Ste 520
Metairie, LA 70006
Phone (504) 885-4003

4315 Houma Blvd
Ste 500
Metairie, LA 70006
Phone (504) 889-5250

Interoperability endpoints

  • Direct secure messaging: maria.nazar.1@30646.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1407322878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 SAINT ANN DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651651",
            "telephone_number": "504-338-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062942",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAR",
        "first_name": "MARIA",
        "middle_name": "ANGELICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-23",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "312952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2515144",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.