Individual provider Active NPI

Neil Tarzy, M.D.

  • Family Medicine Physician
  • Escondido, CA
National Provider Identifier
1427030402
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G60255 Issued in CA
Practice address
306 W El Norte Pkwy
Escondido, CA 92026-1960
Phone
(760) 746-3703
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G60255 CA Primary

Addresses

Primary practice location

306 W El Norte Pkwy
Escondido, CA 92026-1960

Mailing address

332 S Juniper St Ste 100
Escondido, CA 92025-4941
Phone (760) 291-6621

Other identifiers 1

IdentifierTypeStateIssuer
HA527ZOtherCAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neil.tarzy.p1@direct.graybill.nextgenshare.com

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
I20101129000292 CA Practitioner - Family Practice 8921293754 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G60255CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graybill Medical Group Inc Family Medicine CurrentSince Apr 1, 2013 Accepting new patients
Arch Health Partners, Inc Family Medicine Past Accepting new patients

Locations

332 S Juniper St
Ste 100
Escondido, CA 92025
Phone (760) 291-6650

306 W El Norte Pkwy
Ste S
Escondido, CA 92026
Phone (760) 746-3703

225 E 2nd Ave
Escondido, CA 92025

306 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 746-3703

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1427030402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 S JUNIPER ST STE 100",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254941",
            "telephone_number": "760-291-6621",
            "fax_number": "760-737-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W EL NORTE PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920261960",
            "telephone_number": "760-746-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARZY",
        "first_name": "NEIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G60255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HA527Z",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neil.tarzy.p1@direct.graybill.nextgenshare.com",
            "affiliation": "N",
            "address_1": "306 W El Norte Pkwy",
            "city": "Escondido",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920261960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.