Active NPI
Ezra Scott Nielsen, M.D.
- Family Medicine Physician
- Corcoran, CA
National Provider Identifier
1881789188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A44146
- Practice address
- 1310 Hanna Ave
Ste 1
Corcoran, CA 93212-2314 - Phone
- (559) 992-0082
- Fax
- (559) 992-9873
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A44146 | CA | Primary |
Addresses
Primary practice location
1310 Hanna Ave
Ste 1
Corcoran, CA 93212-2314
Mailing address
PO Box 636
Corcoran, CA 93212-0636
Phone (559) 992-0082
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A441460 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44146 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H James Princeton MD a Professional Corp | Family Medicine | Past | Accepting new patients |
| Long Term Care Medical Group, Inc | Past | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corcoran Wellcare Medical Group
- Family Medicine Physician
- Corcoran, CA
- NPI 1316075831
-
dba Premier Walk In Medical Inc
- Family Medicine Physician
- Visalia, CA
- NPI 1053338707
-
dba Adventist Health Hanford
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1356479877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215475200000",
"number": "1881789188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932120636",
"telephone_number": "559-992-0082",
"fax_number": "559-992-9873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 HANNA AVE",
"address_2": "STE 1",
"city": "CORCORAN",
"state": "CA",
"postal_code": "932122314",
"telephone_number": "559-992-0082",
"fax_number": "559-992-9873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "EZRA",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2008-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A44146",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A441460",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corcoran, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.