Active NPI
Agha Zulfequar Hayder, NURSE PRACTITIONER
- Nurse Practitioner
- Ontario, CA
National Provider Identifier
1447660873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18144
- Practice address
- 1001 West 6TH Street, Suite B.
Ontario, CA 91762 - Phone
- (909) 984-0320
- Fax
- (909) 984-2213
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18144 | CA | Primary |
Addresses
Primary practice location
1001 West 6TH Street, Suite B.
Ontario, CA 91762
Mailing address
1001 West 6TH Street, Suite B
Ontario, CA 91762
Phone (909) 984-0320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18144 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ontario Dialysis Center,Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ontario, CA
- NPI 1770520488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1447660873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WEST 6TH STREET, SUITE B",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91762",
"telephone_number": "909-984-0320",
"fax_number": "909-984-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WEST 6TH STREET, SUITE B.",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91762",
"telephone_number": "909-984-0320",
"fax_number": "909-984-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDER",
"first_name": "AGHA",
"middle_name": "ZULFEQUAR",
"name_prefix": "Mr.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.