Active NPI
Vaniza Naveed, MD
- Pediatrics Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD196053
- Practice address
- 6924 NE Sandy Blvd
Portland, OR 97213-5256 - Phone
- (503) 300-4111
- Fax
- (503) 954-2122
- NPI assigned
- Jul 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD196053 | OR | Primary |
Addresses
Primary practice location
6924 NE Sandy Blvd
Portland, OR 97213-5256
Mailing address
6924 NE Sandy Blvd
Portland, OR 97213-5256
Phone (503) 300-4111
Other practice location 1
7215 SE Milwaukie Avenue
Portland, OR 97202-6103
Phone (503) 300-4111
Other practice location 2
2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005-6103
Phone (503) 300-4111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171007000095 | LA | Order and Referring Only - Pediatric Medicine | 9335414929 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD196053 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Crest Childrens Urgent Care LLC | Pediatrics | Current | Accepting new patients |
| University Healthcare System, L.C. | Past | Accepting new patients |
Locations
2935 SW Cedar Hills Blvd
Ste 100
Beaverton, OR 97005
Phone (503) 300-4111
6924 NE Sandy Blvd
Portland, OR 97213
Phone (503) 300-4111
7215 SE Milwaukie Ave
Portland, OR 97202
Phone (503) 300-4111
Interoperability endpoints
- vaniza.naveed.1@3083.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Brave Care
- Urgent Care Clinic/Center
- Portland, OR
- NPI 1164947701
Pediatrics
-
dba LCMC Health Pharmacy Services-Lakeside
- Community/Retail Pharmacy
- Metairie, LA
- NPI 1619446580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1699297622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6924 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135256",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6924 NE SANDY BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972135256",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122"
}
],
"practiceLocations": [
{
"address_1": "7215 SE Milwaukie Avenue",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972026103",
"country_code": "US",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2935 SW Cedar Hills Blvd",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Beaverton",
"state": "OR",
"postal_code": "970056103",
"country_code": "US",
"telephone_number": "503-300-4111",
"fax_number": "503-954-2122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAVEED",
"first_name": "VANIZA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD196053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.