Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Muddassir Rizwan

Individual provider Nurse Practitioner · NPI 1174971840

Mr. Muddassir Rizwan is a Nurse Practitioner in Palo Alto, California. Qualified in 2018, 8 years ago. Practices with Livwell Healthcare Solutions PC, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2016
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Practice location Address checks out

795 El Camino Real
Palo Alto, CA 94301-2302
Phone: (650) 853-2977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP95017417 (CA)

Record details

NPI number1174971840
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2016
Last updated in NPPESJanuary 5, 2022
Certification dateJanuary 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Livwell Healthcare Solutions Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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