Individual provider Active NPI

Nehaben Desai, NP

  • Family Nurse Practitioner
  • San Ramon, CA
National Provider Identifier
1285490748
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95029464 Issued in CA
Practice address
720 Prestwick CT
San Ramon, CA 94582-3064
Phone
(848) 565-5644
NPI assigned
Feb 22, 2024
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95029464 CA Primary
Registered Nurse 163W00000X 95057198 CA

Addresses

Primary practice location

720 Prestwick CT
San Ramon, CA 94582-3064

Mailing address

720 Prestwick CT
San Ramon, CA 94582-3064

Other practice location 1

720 Prestwick Ct
San Ramon, CA 94582-3064
Phone (848) 565-5644

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
I20250530002713 CA Practitioner - Nurse Practitioner 8123537297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sinu-Clear IncGroup PAC ID 6507950367, 5 clinicians

Practice addresses (Care Compare)

Community Extended Care
9620 Fremont Ave
Montclair, CA 91763-2320
Phone (909) 621-4751

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95057198CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sinu-Clear Inc Multi-Specialty CurrentSince Mar 21, 2025 Accepting new patients

Locations

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1708560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1285490748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PRESTWICK CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945823064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PRESTWICK CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945823064",
            "telephone_number": "848-565-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Prestwick Ct",
            "address_purpose": "LOCATION",
            "city": "San Ramon",
            "state": "CA",
            "postal_code": "945823064",
            "country_code": "US",
            "telephone_number": "848-565-5644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "NEHABEN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95029464",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95057198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.