Individual provider Active NPI

Michael Richard Nay, MD

  • General Practice Physician
  • Clovis, CA
National Provider Identifier
1639306863
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C166591 Issued in CA
Practice address
255 W Bullard Ave Ste 109
Clovis, CA 93612-0861
Phone
(559) 325-5715
NPI assigned
Jun 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 44040 AZ
General Practice Physician 208D00000X C166591 CA Primary

Addresses

Primary practice location

255 W Bullard Ave Ste 109
Clovis, CA 93612-0861

Mailing address

255 W Bullard Ave Ste 109
Clovis, CA 93612-0861
Phone (559) 325-5715

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
I20210921003809 CA Practitioner - Family Practice 6507041555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Uniformed Services Uhs Fe Hebert School of Med, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Feather River Tribal Health IncGroup PAC ID 4284799628, 29 clinicians

Practice addresses (Care Compare)

2145 5TH Ave
Oroville, CA 95965-5870
Phone (530) 534-5394

555 W Onstott Rd
Yuba City, CA 95993-5654
Phone (530) 534-5394

Hospital & facility affiliations

  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Oroville Hospital Hospital, Oroville, CA, CCN 050030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44040AZMDGeneral Practice Physician
C166591CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Tribal Health Inc CurrentSince Sep 1, 2023 Accepting new patients

Locations

2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793

555 W Onstott Rd
Yuba City, CA 95993
Phone (530) 751-8454

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1639306863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 109",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-325-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W BULLARD AVE STE 109",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120861",
            "telephone_number": "559-325-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAY",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-15",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "44040",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C166591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.