Individual provider Active NPI

Malalai Yusufzai, NP

  • Nurse Practitioner
  • West Sacramento, CA
National Provider Identifier
1740751247
Registry record updated Dec 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95010016 Issued in CA
Practice address
529 Lilac LN
West Sacramento, CA 95691-2529
Phone
(916) 747-7092
NPI assigned
Dec 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95010016 CA Primary

Addresses

Primary practice location

529 Lilac LN
West Sacramento, CA 95691-2529

Mailing address

529 Lilac LN
West Sacramento, CA 95691-2529
Phone (916) 747-7092

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
I20200929002516 CA Practitioner - Nurse Practitioner 5991124653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Cordova Medical Clinic and Urgent CareGroup PAC ID 1658681010, 3 clinicians

Practice addresses (Care Compare)

3237 Professional Dr
Auburn, CA 95602-2414
Phone (530) 889-6300

5444 Laurel Hills Dr
Sacramento, CA 95841-3106
Phone (916) 331-1333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.92 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95010016CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Cordova Medical Clinic and Urgent Care CurrentSince Jul 1, 2020 Accepting new patients

Locations

3237 Professional Dr
Auburn, CA 95602
Phone (530) 885-8128

2890 La Loma Dr
Rncho Cordova, CA 95670
Phone (916) 376-7069

Interoperability endpoints

  • Direct secure messaging: myusufzai532366@hisp.ehr.sutterhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1740751247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 LILAC LN",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912529",
            "telephone_number": "916-747-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 LILAC LN",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956912529",
            "telephone_number": "916-747-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUFZAI",
        "first_name": "MALALAI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95010016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sacramento, CA

Sources for this page

Verify at the official NPI Registry.