Theodore R Nassar, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A31164 Issued in CA

Practice address

363 E Almond Ave Ste 101
Madera, CA 93637-5753

Phone

(559) 674-0917

Fax

(559) 674-3104

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1609962000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 E ALMOND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375753",
            "telephone_number": "559-674-0917",
            "fax_number": "559-674-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 E ALMOND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375753",
            "telephone_number": "559-674-0917",
            "fax_number": "559-674-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "THEODORE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A31164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0100790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radhika Narang, M.D.
• Jason Nasr, RRT
• Allan T Nassar, MD
• Crystal Nassar, D.D.S.
• Sabrina Sami Nassar, D.D.S.
• Gloria Nava Fraga
• Adrian Navarrete
• John Navarro
• Aftab A Naz, MD
• Tabish Aftab Naz, MD

• Obstetrics & Gynecology Physician in Madera, CA
• Providers in Madera, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.