Individual provider Active NPI

Haider M Nurzay, NP

  • Inpatient Obstetric Registered Nurse
  • Stockton, CA
National Provider Identifier
1992208789
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X
License
678008 Issued in CA
Practice address
2800 N California St Ste 11
Stockton, CA 95204-3758
Phone
(209) 465-5891
NPI assigned
Mar 17, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Obstetric Registered Nurse 163WX0003X 678008 CA Primary

Addresses

Primary practice location

2800 N California St Ste 11
Stockton, CA 95204-3758

Mailing address

2800 N California St Ste 11
Stockton, CA 95204-3758
Phone (209) 465-5891

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200605001441 CA Practitioner - Nurse Practitioner 6507287133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Urgent Care IncGroup PAC ID 2668445115, 2 clinicians

Practice addresses (Care Compare)

1782 W Hammer Lane
Stockton, CA 95207-2922
Phone (209) 475-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
678008CAMDInpatient Obstetric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Urgent Care Inc CurrentSince Mar 1, 2020 Accepting new patients

Locations

2800 N California St
Ste 11
Stockton, CA 95204
Phone (209) 465-5891

1782 W Hammer Ln
Stockton, CA 95209
Phone (209) 465-5891

4719 Quail Lakes Dr
Ste G
Stockton, CA 95207
Phone (202) 306-4100

Interoperability endpoints

  • Direct secure messaging: hnurzay14077@hpmg.direct-ci.net

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": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992208789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-465-5891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N CALIFORNIA ST STE 11",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952043758",
            "telephone_number": "209-465-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NURZAY",
        "first_name": "HAIDER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "678008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.