Individual provider Active NPI

Nupur Thukral

  • Speech-Language Pathologist
  • Milpitas, CA
National Provider Identifier
1366553240
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP9830 Issued in CA
Practice address
995 Montague Expy
Suite #213
Milpitas, CA 95035-6851
Phone
(408) 254-9900
Fax
(408) 258-2175
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP9830 CA Primary

Addresses

Primary practice location

995 Montague Expy
Suite #213
Milpitas, CA 95035-6851

Mailing address

995 Montague Expy
Suite #213
Milpitas, CA 95035-6851
Phone (408) 254-9900

Other identifiers 1

IdentifierTypeStateIssuer
SP9830OtherCASTATE BOARD LICENSE NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120713000549 CA Practitioner - Qualified Speech Language Pathologist 4284899469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP9830CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vijay Thukral, MD, a Professional Corp. CurrentSince Aug 16, 2023 Accepting new patients

Locations

995 Montague Expy
Ste 213
Milpitas, CA 95035
Phone (408) 254-9900

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251244800000",
    "number": "1366553240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 MONTAGUE EXPY",
            "address_2": "SUITE #213",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356851",
            "telephone_number": "408-254-9900",
            "fax_number": "408-258-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 MONTAGUE EXPY",
            "address_2": "SUITE #213",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356851",
            "telephone_number": "408-254-9900",
            "fax_number": "408-258-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THUKRAL",
        "first_name": "NUPUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP9830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD LICENSE NUMBE",
            "identifier": "SP9830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.