Individual provider Active NPI

Huan Ni

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1407362239
Registry record updated Dec 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95007174 Issued in CA
Practice address
160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone
(408) 200-2291
Fax
(408) 278-7799
NPI assigned
Dec 15, 2017
Last updated
Dec 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95007174 CA Primary

Addresses

Primary practice location

160 E Virginia St Ste 100
San Jose, CA 95112-5865

Mailing address

160 E Virginia St Ste 100
San Jose, CA 95112-5865
Phone (408) 200-2291

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
I20190625001805 CA Practitioner - Nurse Practitioner 1850625823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

Practice addresses (Care Compare)

43360 Mission Blvd
Suite 100
Fremont, CA 94539-5959
Phone (650) 288-0826

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95007174CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc CurrentSince Apr 1, 2019 Accepting new patients
Coyle Chiropractic Corp. CurrentSince Sep 1, 2023 Accepting new patients
Advanced DME LLC CurrentSince Apr 20, 2021 Accepting new patients

Locations

3315 Almaden Expy
Ste 20
San Jose, CA 95118
Phone (408) 264-6644

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700

13344 Metcalf Ave
Overland Park, KS 66213
Phone (615) 610-3733

Organizations & group practices 3

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": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1407362239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125865",
            "telephone_number": "408-200-2291",
            "fax_number": "408-278-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E VIRGINIA ST STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951125865",
            "telephone_number": "408-200-2291",
            "fax_number": "408-278-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "HUAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95007174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.