Active NPI
Airell L Nygaard MD Inc
- Physician Assistant
- Sonora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA18044
- Legal business name
- AIRELL L NYGAARD MD INC
- Practice address
- 680 Guzzi LN
Suite 102
Sonora, CA 95370-5288 - Phone
- (209) 588-1800
- Fax
- (209) 588-1700
- NPI assigned
- Sep 19, 2007
- Last updated
- May 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Airell L Nygaard, MD
- Title
- President & Sole Owner
- Phone
- (209) 588-1800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18044 | CA | Primary |
Addresses
Primary practice location
680 Guzzi LN
Suite 102
Sonora, CA 95370-5288
Mailing address
680 Guzzi LN
Suite 102
Sonora, CA 95370-5288
Phone (209) 588-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C374790 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
680 Guzzi Ln
Ste 102
Sonora, CA 95370
Phone (209) 536-5780
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Sonora, CA
- NPI 1417920760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242777600000",
"number": "1609062132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "SUITE 102",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-588-1800",
"fax_number": "209-588-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 GUZZI LN",
"address_2": "SUITE 102",
"city": "SONORA",
"state": "CA",
"postal_code": "953705288",
"telephone_number": "209-588-1800",
"fax_number": "209-588-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AIRELL L NYGAARD MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2009-05-20",
"status": "A",
"authorized_official_last_name": "NYGAARD",
"authorized_official_first_name": "AIRELL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT & SOLE OWNER",
"authorized_official_telephone_number": "209-588-1800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA18044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C374790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.