Active NPI
Mira Paudel Neupane, FNP
- Family Nurse Practitioner
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95024901
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
132 Vintage Way
Suite F5
Novato, CA 94945-5043
Phone (415) 569-6824
Hospital & facility affiliations
- Novato Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95024901 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Health, a Medical Corporation | Current | Accepting new patients | |
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| UCSF Health Community Hospitals | Past | 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
- mpaudel307931@hisp.ehr.sutterhealth.org
- 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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Multi-Specialty Clinic/Center
- San Leandro, CA
- NPI 1477940187
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Novato, CA
- NPI 1104059153
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.