Individual provider Active NPI

Safa M Nsouli, M.D.

  • Health Service Clinic/Center
  • Danville, CA
National Provider Identifier
1750435442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
A42782 Issued in CA
Practice address
905 San Ramon Valley Blvd
Suite 208
Danville, CA 94526-4035
Phone
(925) 831-8344
Fax
(925) 831-2196
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X A42782 CA Primary

Addresses

Primary practice location

905 San Ramon Valley Blvd
Suite 208
Danville, CA 94526-4035

Mailing address

905 San Ramon Valley Blvd
Suite 208
Danville, CA 94526-4035
Phone (925) 831-8344

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
I20081001000244 CA Practitioner - Allergy/Immunology 4183792302 Practice locations: Danville, CA

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 San Ramon Valley Blvd
Suite 208
Danville, CA 94526-4035
Phone (925) 831-8344

Hospital & facility affiliations

  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42782CAMDHealth Service Clinic/Center

Hospital & facility affiliations 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750435442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 208",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-8344",
            "fax_number": "925-831-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 208",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-8344",
            "fax_number": "925-831-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NSOULI",
        "first_name": "SAFA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "A42782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.