Individual provider Active NPI

Napoleon Nazareno IV, NP-C

  • Family Nurse Practitioner
  • Berkeley, CA
National Provider Identifier
1427466465
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000985 Issued in CA
Practice address
837 Addison St
Berkeley, CA 94710-2047
Phone
(510) 981-4100
NPI assigned
Jul 22, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000985 CA Primary

Addresses

Primary practice location

837 Addison St
Berkeley, CA 94710-2047

Mailing address

2299 Mowry Ave Ste 3B
Fremont, CA 94538-1621
Phone (510) 770-8040

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014002257 CA Practitioner - Nurse Practitioner 0840411963 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatrics Care Solution IncGroup PAC ID 7618416512, 7 clinicians

Practice addresses (Care Compare)

318 Main St
Unit 5J
San Francisco, CA 94105-2159
Phone (617) 510-7972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95000985CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Sep 26, 2022 Accepting new patients
Quality Care Solution Inc. CurrentSince Mar 1, 2023 Accepting new patients
Lifelong Medical Care CurrentSince Sep 26, 2022 Accepting new patients
The West Oakland Health Council CurrentSince Mar 23, 2023 Accepting new patients
Geriatrics Care Solution Inc CurrentSince Jul 1, 2024 Accepting new patients
The West Oakland Health Council Current Accepting new patients
The West Oakland Health Council CurrentSince Mar 23, 2023 Accepting new patients

Locations

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

1275 Crane St
Menlo Park, CA 94025
Phone (510) 481-3206

10615 International Blvd
Oakland, CA 94603
Phone (510) 568-9230

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

700 Adeline St
Oakland, CA 94607
Phone (510) 835-9610

2043 19th Ave
San Francisco, CA 94116
Phone (415) 661-8787

1355 Clayton Rd
San Jose, CA 95127
Phone (408) 251-3070

1291 S Bernardo Ave
Sunnyvale, CA 94087
Phone (408) 245-8070

Organizations & group practices 7

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1427466465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE STE 3B",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-770-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 ADDISON ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102047",
            "telephone_number": "510-981-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZARENO",
        "first_name": "NAPOLEON",
        "name_suffix": "IV",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-22",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.