Active NPI
Abram Wolfe Nunn, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1952730020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 51297
- Practice address
- 3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277 - Phone
- (916) 368-1500
- NPI assigned
- Nov 8, 2013
- Last updated
- May 3, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 51297 | CA | Primary |
Addresses
Primary practice location
3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277
Mailing address
3635 Bradshaw Rd Ste B
Sacramento, CA 95827-3277
Phone (916) 368-1500
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 |
|---|---|---|---|
| 51297 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Current | Accepting new patients | |
| Cep America-California | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399075200000",
"number": "1952730020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3635 BRADSHAW RD STE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958273277",
"telephone_number": "916-368-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3635 BRADSHAW RD STE B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958273277",
"telephone_number": "916-368-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNN",
"first_name": "ABRAM",
"middle_name": "WOLFE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2014-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "51297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2014; 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.