Active NPI
Nada El-Ghezzaoui
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 440 Broome St FL 2
New York, NY 10013-3569 - Phone
- (646) 650-5337
- Fax
- (646) 871-6820
- NPI assigned
- Jul 28, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 030815 | NY | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
440 Broome St FL 2
New York, NY 10013-3569
Mailing address
14632 Sweetan St
Irvine, CA 92604-2428
Phone (949) 214-7640
Other practice location 1
1075 Camino Del Rio S
San Diego, CA 92108-3538
Phone (619) 881-4516
Other practice location 2
4425 S Central Ave
Los Angeles, CA 90011-3629
Phone (323) 908-4200
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030815 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Family Health Center | Current | Accepting new patients | |
| South Central Family Health Center | Current | Accepting new patients |
Locations
4425 S Central Ave
Los Angeles, CA 90011
3410 Hooper Ave
Los Angeles, CA 90011
Interoperability endpoints
- nada.elghezzaoui.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 3
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.
-
dba Huntington Park Family Health Center
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1669799896
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1396891909
-
dba SCFHC - Santa Fe
- Federally Qualified Health Center (FQHC)
- Huntington Park, CA
- NPI 1487218970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1922652916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14632 SWEETAN ST",
"city": "IRVINE",
"state": "CA",
"postal_code": "926042428",
"telephone_number": "949-214-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 BROOME ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100133569",
"telephone_number": "646-650-5337",
"fax_number": "646-871-6820"
}
],
"practiceLocations": [
{
"address_1": "1075 Camino Del Rio S",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083538",
"country_code": "US",
"telephone_number": "619-881-4516",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4425 S Central Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900113629",
"country_code": "US",
"telephone_number": "323-908-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EL-GHEZZAOUI",
"first_name": "NADA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-28",
"last_updated": "2025-06-17",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "030815",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.