Mikhail Nizamov

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

95000245 Issued in CA

Practice address

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872

Phone

(760) 323-6511

NPI assigned

Feb 10, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Jolla Anesthesia Associates, LPGroup PAC ID 3678850567, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.6 of 100Reported as group

Quality

64.37

Promoting interoperability

100

Improvement activities

40

Cost

72.88

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• La Jolla Anesthesia Associates LP

  • Certified Registered Nurse Anesthetist
  • La Jolla, CA
  • NPI 1649717737

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Coastal a S C LLC

  • Ambulatory Surgical Clinic/Center
  • Carlsbad, CA
  • NPI 1326702457
  Medicare reassignment NPD
• Comfort Endoscopy Anesthesia LLC

  • Certified Registered Nurse Anesthetist
  • Oceanside, CA
  • NPI 1417373028

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Escondido Anesthesia Associates LP

  • Certified Registered Nurse Anesthetist
  • Escondido, CA
  • NPI 1588151120

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• First Choice Physician Partners

  • Neurological Surgery Physician
  • Modesto, CA
  • NPI 1104183052
  Medicare reassignment NPD
• Sound Physicians Anesthesiology of California PC

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1699408229

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Trinity Anesthesia Group Inc

  • Anesthesiology Physician
  • Temecula, CA
  • NPI 1861078693
  Medicare reassignment NPD
• Zachary C Cohen MD Apc

  • Pain Medicine Physician
  • San Diego, CA
  • NPI 1689334468
  Medicare reassignment NPD
• Palm Springs Anesthesia Services, PC

  • Anesthesiology Physician
  • San Bernardino, CA
  • NPI 1083928501
  Medicare reassignment
• First Choice Physician Partners

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1558797118
  NPD
• First Choice Physician Partners

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD
• Zachary C Cohen MD Apc

  • Interventional Pain Medicine Physician
  • San Diego, CA
  • NPI 1790589570
  NPD

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1669863809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N INDIAN CANYON DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624872",
            "telephone_number": "760-323-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIZAMOV",
        "first_name": "MIKHAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95000245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyhan Nguyen
• NHJS Inc
• Imari Nicole Nicoloff
• Rosela Nielsen
• John C Ninos, MD
• Dennis James Norheim, D.D.S.
• Jennifer Novak, PHARM.D.
• Juan Enrique Novales, MD
• Juanito Soriano Novales, M.D.
• Gregory B Novall

• Certified Registered Nurse Anesthetist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Certified Registered Nurse Anesthetist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.