Organization Active NPI

Nativity Pediatrics, Inc

  • Primary Care Clinic/Center
  • Folsom, CA
National Provider Identifier
1770739989
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0900010314 Issued in CA
Legal business name
NATIVITY PEDIATRICS, INC
Practice address
740 Oak Avenue Pkwy Ste 145
Folsom, CA 95630-6815
Phone
(916) 817-6461
Fax
(916) 358-5297
NPI assigned
Aug 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Dr. Eule Nagrampa Biyo, M.D.NPI 1851408090
Title
President
Phone
(916) 817-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0900010314 CA Primary

Addresses

Primary practice location

740 Oak Avenue Pkwy Ste 145
Folsom, CA 95630-6815

Mailing address

740 Oak Avenue Pkwy Ste 145
Folsom, CA 95630-6815
Phone (916) 817-6461

Other identifiers 1

IdentifierTypeStateIssuer
1851408090OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Tax ID family
Nativity Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

740 Oak Avenue Pkwy
Ste 145
Folsom, CA 95630
Phone (916) 817-6461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1770739989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 OAK AVENUE PKWY STE 145",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306815",
            "telephone_number": "916-817-6461",
            "fax_number": "916-358-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 OAK AVENUE PKWY STE 145",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306815",
            "telephone_number": "916-817-6461",
            "fax_number": "916-358-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVITY PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BIYO",
        "authorized_official_first_name": "EULE",
        "authorized_official_middle_name": "NAGRAMPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-817-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "0900010314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1851408090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.