Individual provider Active NPI

Nathan Morello, D.C.

  • Family Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1649288697
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033493 Issued in CA
Practice address
1177 Mission Rd
Suite C
South San Francisco, CA 94080-1302
Phone
(650) 225-9900
Fax
(650) 225-9905
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29332 CA
Family Nurse Practitioner 363LF0000X 95033493 CA Primary

Addresses

Primary practice location

1177 Mission Rd
Suite C
South San Francisco, CA 94080-1302

Mailing address

1177 Mission Rd
Suite C
South San Francisco, CA 94080-1302
Phone (650) 225-9900

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250418000531 CA Practitioner - Nurse Practitioner 0648275974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Remedy Medical GroupGroup PAC ID 7618166091, 12 clinicians

Practice addresses (Care Compare)

1330 Tara Hills Dr
Suite E105
Pinole, CA 94564-2531
Phone (850) 306-9490

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
DC29332CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Medical Group CurrentSince Mar 17, 2025 Accepting new patients

Locations

1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322

490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177

1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1649288697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 MISSION RD",
            "address_2": "SUITE C",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801302",
            "telephone_number": "650-225-9900",
            "fax_number": "650-225-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 MISSION RD",
            "address_2": "SUITE C",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801302",
            "telephone_number": "650-225-9900",
            "fax_number": "650-225-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELLO",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29332",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.