Individual provider Active NPI

Nishina Ann Thomas, MD

  • Psychiatry Physician
  • Palo Alto, CA
National Provider Identifier
1174933204
Registry record updated Aug 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A154908 Issued in CA
Practice address
401 Quarry Rd
Palo Alto, CA 94304
Phone
(650) 725-4070
NPI assigned
Apr 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A154908 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X TX

Addresses

Primary practice location

401 Quarry Rd
Palo Alto, CA 94304

Mailing address

401 Quarry Rd
Palo Alto, CA 94304-1419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190507000827 CA Practitioner - Psychiatry 2668714916 Reassigns benefits to 6 organizations
Practice locations: Mountain View, CA
I20251126003029 MD Practitioner - Psychiatry 2668714916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheppard Pratt Physicians PAGroup PAC ID 8224937610, 70 clinicians

Practice addresses (Care Compare)

7220 Discovery Dr
Elkridge, MD 21075-7414
Phone (410) 938-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154908CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Medical Foundation CurrentSince Jan 6, 2025 Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Oct 7, 2023 Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
Sheppard Pratt Physicians, P.a. Psychiatry CurrentSince Nov 1, 2025 Accepting new patients
County of Santa Clara Psychiatry CurrentSince Mar 3, 2019 Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
County of Santa Clara CurrentSince Mar 3, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara Current Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Felton Institute Past Accepting new patients

Locations

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

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

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

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

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

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

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

1067 4th St
South Lake Tahoe, CA 96150
Phone (530) 600-1960

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

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Interoperability endpoints

  • Direct secure messaging: nthomas208068@direct.renown.org
  • Direct secure messaging: nthomas146803@icare.elcaminohospital.org

Organizations & group practices 12

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533427200000",
    "number": "1174933204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-725-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "NISHINA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2018-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A154908",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.