Individual provider Active NPI

Brian Moon Yong Nagao, M.D.

  • Forensic Pathology Physician
  • Sacramento, CA
National Provider Identifier
1780916007
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic Pathology PhysicianTaxonomy code 207ZF0201X
License
A110995 Issued in CA
Practice address
4800 Broadway
Suite 100, Sacramento County Coroner
Sacramento, CA 95820-1540
Phone
(916) 874-1559
NPI assigned
Feb 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A 110995 CA
Forensic Pathology Physician 207ZF0201X A110995 CA Primary

Addresses

Primary practice location

4800 Broadway
Suite 100, Sacramento County Coroner
Sacramento, CA 95820-1540

Mailing address

4800 Broadway
Suite 100, Sacramento County Coroner
Sacramento, CA 95820-1540
Phone (916) 874-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A110995CAMDForensic Pathology Physician
A 110995CAMDAnatomic Pathology & Clinical Pathology Physician

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1780916007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY",
            "address_2": "SUITE 100, SACRAMENTO COUNTY CORONER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201540",
            "telephone_number": "916-874-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BROADWAY",
            "address_2": "SUITE 100, SACRAMENTO COUNTY CORONER",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958201540",
            "telephone_number": "916-874-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAO",
        "first_name": "BRIAN",
        "middle_name": "MOON YONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A 110995",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "A110995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.