Doriel Pearson-Nishioka, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11886 Issued in CA

Practice address

1855 Bay Rd.
East Palo Alto, CA 94303

Phone

(650) 330-7400

Fax

(650) 321-1610

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• LPCH Medical Group Div of Lucile

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940
  Medicare reassignment

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1205937885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "SUMC - PEDS PHYSISCIAN BILLING MC: 5530",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-498-7391",
            "fax_number": "650-725-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 BAY RD.",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "94303",
            "telephone_number": "650-330-7400",
            "fax_number": "650-321-1610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Pasteur Dr",
            "address_2": "SUMC - Peds Physiscian Billing MC: 5530",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943052200",
            "country_code": "US",
            "telephone_number": "650-498-7391",
            "fax_number": "650-725-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "842 Altos Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940245403",
            "country_code": "US",
            "telephone_number": "650-941-0550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON-NISHIOKA",
        "first_name": "DORIEL",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Common Ground, Inc.
• Our Common Ground, Inc. - Epa
• Leticia S Padilla
• Runjhun Nitin Pandit
• Ushma Patel, RDHAP
• Elliott Gregory Pereira, DDS
• Edward Floyd Pickett Jr.
• Rebecca Anderson Pinto, PA-C
• Nishi Lata Prasad-Srikrish, PT, DPT
• Erma J. Prothro

• Physician Assistant in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.