Active NPI
Kay M. Nelsen, M.D.
- Family Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G79095
- Practice address
- 4860 Y St
Acc 1600
Sacramento, CA 95817-2307 - Phone
- (916) 734-3630
- Fax
- (916) 734-5550
- NPI assigned
- Dec 13, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G79095 | CA | Primary |
Addresses
Primary practice location
4860 Y St
Acc 1600
Sacramento, CA 95817-2307
Mailing address
4860 Y St
Acc 2300
Sacramento, CA 95817-2307
Phone (916) 734-3442
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G79095 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of Ca | Family Medicine | Current | Accepting new patients |
Locations
8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955
4860 Y St
Ste 1600
Sacramento, CA 95817
Phone (916) 734-2833
4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846
4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Family Medicine Physician
- Sacramento, CA
- NPI 1992930986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1457336463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "ACC 2300",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-3442",
"fax_number": "916-734-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"address_2": "ACC 1600",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-3630",
"fax_number": "916-734-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSEN",
"first_name": "KAY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G79095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.