Individual provider Active NPI

Ankur Nayyar, M.D.

  • Neurology Physician
  • Mission Hills, CA
National Provider Identifier
1912380783
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A170775 Issued in CA
Practice address
14901 Rinaldi St Ste 325
Mission Hills, CA 91345-1235
Phone
(818) 898-9898
Fax
(818) 898-9899
NPI assigned
Jun 29, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A170775 CA Primary
Neurology Physician 2084N0400X MD61185486 WA

Addresses

Primary practice location

14901 Rinaldi St Ste 325
Mission Hills, CA 91345-1235

Mailing address

14901 Rinaldi St Ste 325
Mission Hills, CA 91345-1235
Phone (818) 898-9898

Other identifiers 2

IdentifierTypeStateIssuer
A170775MedicaidCA
A170775OtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810001691 CA Practitioner - Neurology 3072919984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri Valley Neurology Medical Associates Inc.Group PAC ID 8921020249, 2 clinicians

Practice addresses (Care Compare)

14901 Rinaldi St
Suite 325
Mission Hills, CA 91345-1235

14901 Rinaldi St
Suite 330
Mission Hills, CA 91345-1250
Phone (818) 898-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A170775CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri Valley Neurology Medical Associates Inc. Neurology CurrentSince Jul 27, 2023 Accepting new patients
Yuriy Verpukhovskiy MD Inc PastSince Jul 16, 2023 Accepting new patients

Locations

14901 Rinaldi St
Ste 325
Mission Hills, CA 91345
Phone (818) 898-9898

14901 Rinaldi St
Ste 330
Mission Hills, CA 91345
Phone (818) 365-7778

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1912380783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 325",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451235",
            "telephone_number": "818-898-9898",
            "fax_number": "818-898-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 RINALDI ST STE 325",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451235",
            "telephone_number": "818-898-9898",
            "fax_number": "818-898-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "ANKUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A170775",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD61185486",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A170775",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "A170775",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.