Raquel Natalia Nieves, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C150185 Issued in CA

Practice address

1133 E Stanley Blvd Ste 103
Livermore, CA 94550-4270

Phone

(925) 455-5050

Fax

(925) 455-5084

NPI assigned

Jan 30, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Natalie Nieves-Bernal Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• LPCH Medical Group Div of Lucile

  dba Lucile Salter Packard Children's Hospital at Stanford

  • Children's Hospital
  • Palo Alto, CA
  • NPI 1417907940

  Pediatrics

  Medicare reassignment NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1386781466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD STE 103",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504270",
            "telephone_number": "925-455-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD STE 103",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504270",
            "telephone_number": "925-455-5050",
            "fax_number": "925-455-5084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "527 S Black Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Blackwood",
            "state": "NJ",
            "postal_code": "080122868",
            "country_code": "US",
            "telephone_number": "856-228-1061",
            "fax_number": "856-228-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES",
        "first_name": "RAQUEL",
        "middle_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA09062400",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C150185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "NIEVES-BERNAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thoa Nguyen
• Thuy Nguyen
• Tin Nguyen
• Tracy Nguyen, OD
• Denice Michelle Nielson, MOTR/L, CHT
• Jon M Nishikubo, DDS
• Noble Sub-Acute Care Services, Inc. (Mocho Park Care Center)
• Jade Nicole Nolte
• Thanuchporn Nonnapaporn, DMD
• Kathleen Noonan, RN

• Pediatrics Physician in Livermore, CA
• Providers in Livermore, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.