Individual provider Active NPI

Mira Paudel Neupane, FNP

  • Family Nurse Practitioner
  • San Leandro, CA
National Provider Identifier
1265007884
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024901 Issued in CA
Practice address
13690 E 14TH St Ste 100
San Leandro, CA 94578-2584
Phone
(510) 984-2489
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 751940 CA
Family Nurse Practitioner 363LF0000X 95024901 CA Primary

Addresses

Primary practice location

13690 E 14TH St Ste 100
San Leandro, CA 94578-2584

Mailing address

45 Castro
San Franscisco, CA 94114
Phone (415) 600-6000

Other practice location 1

1452 Bill Ct
Petaluma, CA 94954-6568
Phone (831) 915-4907

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
I20240108003399 CA Practitioner - Nurse Practitioner 7113378852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

132 Vintage Way
Suite F5
Novato, CA 94945-5043
Phone (415) 569-6824

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95024901CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City Health, a Medical Corporation CurrentSince Apr 30, 2023 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Feb 5, 2025 Accepting new patients
UCSF Health Community Hospitals PastSince Apr 30, 2023 Accepting new patients

Locations

2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447

5829 Lone Tree Way
Ste D
Antioch, CA 94531
Phone (925) 204-3715

1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732

303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615

132 Vintage Way
Ste F5
Novato, CA 94945
Phone (415) 539-3241

401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206

13690 E 14th St
Ste 100
San Leandro, CA 94578
Phone (510) 984-2489

Interoperability endpoints

  • Direct secure messaging: mpaudel307931@hisp.ehr.sutterhealth.org
  • Direct secure messaging: mira.neupane.1@17480.direct.athenahealth.com

Organizations & group practices 3

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1265007884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO",
            "city": "SAN FRANSCISCO",
            "state": "CA",
            "postal_code": "94114",
            "telephone_number": "415-600-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782584",
            "telephone_number": "510-984-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 Bill Ct",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949546568",
            "country_code": "US",
            "telephone_number": "831-915-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUPANE",
        "first_name": "MIRA",
        "middle_name": "PAUDEL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "751940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.