Active NPI
Nehaben Desai, NP
- Family Nurse Practitioner
- San Ramon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95029464
- Practice address
- 720 Prestwick CT
San Ramon, CA 94582-3064 - Phone
- (848) 565-5644
- NPI assigned
- Feb 22, 2024
- Last updated
- Mar 14, 2024
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95057198 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinu-Clear Inc | Multi-Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.