Individual provider Active NPI

Nihal Naccasha, M.D.

  • Maternal & Fetal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1649250424
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A77210 Issued in CA
Practice address
100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883
Phone
(805) 546-2057
Fax
(805) 784-0895
NPI assigned
Jan 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X A77210 CA Primary

Addresses

Primary practice location

100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883

Mailing address

100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883
Phone (805) 546-2057

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
I20090602000630 CA Practitioner - Obstetrics/Gynecology 0941350573 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77210CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
First Choice Physician Partners Current Accepting new patients
Adventist Health Physicians Network CurrentSince May 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Feb 27, 2024 Accepting new patients
Adventist Health Physicians Network Maternal & Fetal Medicine CurrentSince May 1, 2024 Accepting new patients
First Choice Physician Partners CurrentSince Feb 27, 2024 Accepting new patients
San Luis Obispo Rehabilitation Specialists, Inc. Past Accepting new patients
Pediatric Inpatient Specialists PC Past Accepting new patients

Locations

6955 El Camino Real
Ste 200
Atascadero, CA 93422
Phone (805) 394-4980

35 Casa St
Ste 220
San Luis Obispo, CA 93405
Phone (805) 595-1808

Interoperability endpoints

  • Direct secure messaging: nihal.naccasha.1@31068.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649250424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE D-3",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-546-2057",
            "fax_number": "805-784-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE D-3",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-546-2057",
            "fax_number": "805-784-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACCASHA",
        "first_name": "NIHAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A77210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.