Individual provider Active NPI

Nasrin Siddiq Naimi, M.D.

  • Anesthesiology Physician
  • Fremont, CA
National Provider Identifier
1922054311
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A35608 Issued in CA
Practice address
2299 Mowry Ave
Fremont, CA 94538-1621
Phone
(510) 791-5374
Fax
(510) 790-8916
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A35608 CA Primary

Addresses

Primary practice location

2299 Mowry Ave
Fremont, CA 94538-1621

Mailing address

2923 Bradley St
Ste 120
Pasadena, CA 91107-1503
Phone (626) 795-6596

Other identifiers 1

IdentifierTypeStateIssuer
00A356080MedicaidCA

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
I20100827000757 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 2769402239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35608CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasrin Naimi MD Inc Anesthesiology CurrentSince Apr 3, 2012 Accepting new patients

Locations

2299 Mowry Ave
Fl 1
Fremont, CA 94538
Phone (510) 791-5374

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1922054311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 BRADLEY ST",
            "address_2": "STE 120",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071503",
            "telephone_number": "626-795-6596",
            "fax_number": "770-701-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-791-5374",
            "fax_number": "510-790-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIMI",
        "first_name": "NASRIN",
        "middle_name": "SIDDIQ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A35608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A356080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.