Peter Michael Nakaguchi, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G78162 Issued in CA

Practice address

9300 Valley Childrens PL
Madera, CA 93638-8761

Phone

(559) 353-6425

Fax

(559) 353-6441

NPI assigned

Aug 12, 2006

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

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pnakaguchi15771@valleychildrens-prd.direct-ci.com
• FHIR API: https://api.platform.athenahealth.com/6226/brand/1/csg/1/fhir/r4

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.

• Valley Children's Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  Medicare reassignment NPD
• Central California Faculty Medical Group, Inc.

  • Internal Medicine Physician
  • Clovis, CA
  • NPI 1992742852

  Pediatrics

  NPD (past)
• Valley Children's Hospital

  dba Charlie Mitchell Rural Health Clinic

  • Rural Health Clinic/Center
  • Madera, CA
  • NPI 1063573962
  NPD (past)
• Valley Children's Hospital

  • Children's Hospital
  • Madera, CA
  • NPI 1700949336
  NPD (past)
• Valley Children's Hospital

  • Children's Hospital
  • Madera, CA
  • NPI 1952312043
  NPD (past)
• Valley Children's Specialty Medical Group, Inc.

  • Pediatrics Physician
  • Madera, CA
  • NPI 1013968296
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1750393617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-6425",
            "fax_number": "559-353-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-6425",
            "fax_number": "559-353-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAGUCHI",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G78162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "161636",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G781620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Itab Ali Nagi
• Wendy Michele Nagle, NP, CNS
• Nahideh Shojaei DDS , PC (Ideal Smile Dentistry Dental Practice)
• Renu Nair
• Alyssa Catherine Nakaguchi, PHARMD
• Elizabeth Wells Nakamura, M.D.
• Karishma Nanduri, NP
• Radhika Narang, M.D.
• Jason Nasr, RRT
• Allan T Nassar, MD

• Pediatrics Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.

Verify at the official NPI Registry.