Individual provider Active NPI

Samyuktha Prashant Lokeshwar, FNP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1134527641
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95002007 Issued in CA
Practice address
778 Canoas Creek Cir
San Jose, CA 95136-4502
Phone
(408) 655-1914
NPI assigned
Dec 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 635899 CA
Family Nurse Practitioner 363LF0000X 95002007 CA Primary

Addresses

Primary practice location

778 Canoas Creek Cir
San Jose, CA 95136-4502

Mailing address

778 Canoas Creek Cir
San Jose, CA 95136-4502
Phone (408) 655-1914

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
I20150428002223 CA Practitioner - Nurse Practitioner 2163741943 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
635899CAMDEmergency Registered Nurse
95002007CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Associates Overhead Operating Account Dennis Belo CurrentSince Feb 11, 2015 Accepting new patients
Emergency Physicians Associates Fremont PC CurrentSince Jan 1, 2019 Accepting new patients
Emergency Physicians Associates San Jose PC CurrentSince Jan 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2026 Accepting new patients
County of Santa Clara CurrentSince Jan 28, 2026 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

9400 No Name Uno
Gilroy, CA 95020
Phone (408) 848-2000

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

Interoperability endpoints

  • Direct secure messaging: slokeshwar125829@santaclaravalley.direct-ci.net

Organizations & group practices 6

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1134527641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 CANOAS CREEK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951364502",
            "telephone_number": "408-655-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 CANOAS CREEK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951364502",
            "telephone_number": "408-655-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOKESHWAR",
        "first_name": "SAMYUKTHA",
        "middle_name": "PRASHANT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-15",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "CA",
            "license": "635899",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95002007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.