Active NPI
Risa A. Bernasconi, FNP
- Family Nurse Practitioner
- San Jose, CA
National Provider Identifier
1326171984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12394
- Practice address
- 1691 The Alameda
San Jose, CA 95126-2203 - Phone
- (408) 287-7526
- Fax
- (408) 971-6963
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | RN487057 | CA | |
| Family Nurse Practitioner | 363LF0000X | 12394 | CA | Primary |
Addresses
Primary practice location
1691 The Alameda
San Jose, CA 95126-2203
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 795-3619
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN487057 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abaci and Massey Pain Management Center a Medical Corporation | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Medicine Physician
- Los Gatos, CA
- NPI 1487758074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1326171984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-795-3619",
"fax_number": "408-287-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-287-7526",
"fax_number": "408-971-6963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNASCONI",
"first_name": "RISA",
"middle_name": "A.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "RN487057",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "12394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.