Individual provider Active NPI

Aftab A Naz, MD

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1730191776
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A36535 Issued in CA
Practice address
1111 W 4TH St
Madera, CA 93637-4474
Phone
(559) 673-3000
Fax
(559) 662-2910
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A36535 CA Primary

Addresses

Primary practice location

1111 W 4TH St
Madera, CA 93637-4474

Mailing address

1111 W 4TH St
Madera, CA 93637-4474
Phone (559) 673-3000

Other identifiers 2

IdentifierTypeStateIssuer
LAB13493FMedicaidCA
GR0068140MedicaidCA

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
I20100614000538 CA Practitioner - Pediatric Medicine 8022001049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Children's Hospital Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Madera Family Medical Group Lab Past Accepting new patients

Organizations & group practices 3

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1730191776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-673-3000",
            "fax_number": "559-662-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 4TH ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374474",
            "telephone_number": "559-673-3000",
            "fax_number": "559-662-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZ",
        "first_name": "AFTAB",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A36535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB13493F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.