Individual provider Active NPI

Bushra Nadeem, MD

  • Pediatrics Physician
  • Sacramento, CA
National Provider Identifier
1275777344
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A105252 Issued in CA
Practice address
7275 E Southgate Dr
Suite 306
Sacramento, CA 95823-2628
Phone
(916) 422-6635
NPI assigned
Apr 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A105252 CA Primary

Addresses

Primary practice location

7275 E Southgate Dr
Suite 306
Sacramento, CA 95823-2628

Mailing address

514 5TH St Apt 3a
Brooklyn, NY 11215-3529
Phone (408) 757-5704

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
I20110527000198 CA Practitioner - Pediatric Medicine 1254518301 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105252CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara Pediatrics Current Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Sep 1, 2019 Accepting new patients

Locations

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

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

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

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

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

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

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

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1275777344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 5TH ST APT 3A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153529",
            "telephone_number": "408-757-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 E SOUTHGATE DR",
            "address_2": "SUITE 306",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958232628",
            "telephone_number": "916-422-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEEM",
        "first_name": "BUSHRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A105252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.