Organization Active NPI

Nativity Pediatrics, Inc.

  • Pediatrics Physician
  • Folsom, CA
National Provider Identifier
1821244161
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A95948 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
NPI assigned
Aug 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Dr. Eule Nagrampa Biyo, MD
Title
President
Phone
(916) 817-6461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A95948 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.

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1821244161",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVITY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "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": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A95948",
            "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 18, 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.