Hayatullah Niazi, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

55054 Issued in CA

Practice address

7275 E Southgate Dr Ste 102
Sacramento, CA 95823-2610

Phone

(916) 244-4464

Fax

(310) 269-1609

NPI assigned

Nov 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Niazi Family Medicine and Urgent Care IncGroup PAC ID 1557709375, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Niazi Family Medicine & Urgent Care Inc

  • Family Medicine Physician
  • Sacramento, CA
  • NPI 1255109948
  Medicare reassignment Care Compare group Authorized official
• Niazi Family Medicine & Urgent Care Inc

  • Urgent Care Clinic/Center
  • Sacramento, CA
  • NPI 1487416293
  NPD Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1932612306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232610",
            "telephone_number": "916-244-4464",
            "fax_number": "310-269-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR STE 102",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232610",
            "telephone_number": "916-244-4464",
            "fax_number": "310-269-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIAZI",
        "first_name": "HAYATULLAH",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55054",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "843383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Ni, M.D.
• Niazi Family Medicine & Urgent Care Inc
• Niazi Family Medicine & Urgent Care Inc
• Enayatullah Niazi, MD
• Harris Niazi
• Laila Niazi, M.D.
• Latifa Niazi, RN
• Shabistan Niazy
• Crystal S Nicholas
• Larry Nicholas

• Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.