Individual provider Active NPI

Eileen S Natuzzi, MD

  • Vascular Surgery Physician
  • Oceanside, CA
National Provider Identifier
1740285618
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G71891 Issued in CA
Practice address
3998 Vista Way
Ste C200
Oceanside, CA 92056-4519
Phone
(760) 724-5352
Fax
(760) 724-5447
NPI assigned
Jun 16, 2005
Reactivated
Mar 24, 2006
Last updated
Mar 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G71891 CA Primary

Addresses

Primary practice location

3998 Vista Way
Ste C200
Oceanside, CA 92056-4519

Mailing address

3998 Vista Way
Ste C200
Oceanside, CA 92056-4519
Phone (760) 724-5352

Other identifiers 1

IdentifierTypeStateIssuer
00G7189110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71891CAMDAddiction (Substance Use Disorder) Counselor
G71891CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam S. Fierer MD, Inc. Past Accepting new patients

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, 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1740285618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "STE C200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564519",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "STE C200",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564519",
            "telephone_number": "760-724-5352",
            "fax_number": "760-724-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATUZZI",
        "first_name": "EILEEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-03-16",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G71891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G7189110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.