Provider Demographics
NPI:1053352815
Name:NAPPER, CLAY HUGHES (MD)
Entity type:Individual
Prefix:
First Name:CLAY
Middle Name:HUGHES
Last Name:NAPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 6102
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94948-6102
Mailing Address - Country:US
Mailing Address - Phone:415-884-3418
Mailing Address - Fax:415-883-8082
Practice Address - Street 1:100 S SAN MATEO DR
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3805
Practice Address - Country:US
Practice Address - Phone:650-696-4515
Practice Address - Fax:650-696-4626
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG780452085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G780450Medicaid
CA300121751OtherRAILROAD MEDICARE
CA00G780454Medicare PIN
CA00G780453Medicare PIN
CA00G780457Medicare PIN
CA00G780455Medicare PIN
CA00G780451Medicare PIN
CAG68341Medicare UPIN
CA00G780450Medicaid
CA00G780452Medicare PIN
CA300121751OtherRAILROAD MEDICARE