Active NPI
Brian Moon Yong Nagao, M.D.
- Forensic Pathology Physician
- Sacramento, CA
National Provider Identifier
1780916007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- A110995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A110995 | CA | MD | Forensic Pathology Physician |
| A 110995 | CA | MD | Anatomic 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.