Individual provider Active NPI

Priyasheelta Nand, M.D.

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1174843916
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A119122 Issued in CA
Practice address
2950 Whipple Avenue
Suite 3
Redwood City, CA 94062
Phone
(650) 817-2117
Fax
(650) 817-2119
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A119122 CA Primary

Addresses

Primary practice location

2950 Whipple Avenue
Suite 3
Redwood City, CA 94062

Mailing address

1805 N California St
Ste 201
Stockton, CA 95204-6032
Phone (209) 645-4005

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000382 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6709034523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Touro University Medical GroupGroup PAC ID 5799119541, 23 clinicians

Practice addresses (Care Compare)

1805 N California St
Suite 201
Stockton, CA 95204-6032
Phone (209) 943-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A119122CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Touro University Medical Group Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sequoia Health Services Past Accepting new patients
St. Joseph'S Hospital, Yonkers Past Accepting new patients

Locations

1805 N California St
Ste 201
Stockton, CA 95204
Phone (209) 479-3900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/e0d732aa-1d5c-42bf-b672-8fabe3feb437/
  • Direct secure messaging: priyasheelta.nand.1@17742.direct.athenahealth.com
  • Direct secure messaging: tourouniversitymedicalgroup.priyasheeltanand@155493.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1174843916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N CALIFORNIA ST",
            "address_2": "STE 201",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046032",
            "telephone_number": "209-645-4005",
            "fax_number": "209-645-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 WHIPPLE AVENUE",
            "address_2": "SUITE 3",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-817-2117",
            "fax_number": "650-817-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAND",
        "first_name": "PRIYASHEELTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A119122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.