Individual provider Active NPI

Stanley Masaji Naguwa, M.D.

  • Rheumatology Physician
  • Davis, CA
National Provider Identifier
1447231873
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
G33104 Issued in CA
Practice address
2660 W Covell Blvd
Suite a
Davis, CA 95616-5645
Phone
(530) 747-3074
Fax
(530) 792-8556
NPI assigned
Nov 11, 2005
Last updated
Aug 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X G33104 CA Primary

Addresses

Primary practice location

2660 W Covell Blvd
Suite a
Davis, CA 95616-5645

Mailing address

451 East Health Sciences Drive
GBSF, University of California
Davis, CA 95616
Phone (530) 752-2884

Other identifiers 1

IdentifierTypeStateIssuer
00G331040MedicaidCA

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
I20080731000519 CA Practitioner - RheumatologyPractitioner - Allergy/Immunology 6103990676 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Nov 30, 1995 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 30, 1995 Accepting new patients
Regents of the University of California CurrentSince Jan 20, 2010 Accepting new patients
Regents of the University of California CurrentSince Jan 20, 2010 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the University of California Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Ste A
Davis, CA 95616
Phone (530) 747-3000

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2825 J St
Ste 400
Sacramento, CA 95816
Phone (916) 734-0779

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

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1447231873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 EAST HEALTH SCIENCES DRIVE",
            "address_2": "GBSF, UNIVERSITY OF CALIFORNIA",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95616",
            "telephone_number": "530-752-2884",
            "fax_number": "530-754-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "address_2": "SUITE A",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3074",
            "fax_number": "530-792-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGUWA",
        "first_name": "STANLEY",
        "middle_name": "MASAJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G33104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G331040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.