Nissan Medicine

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

NISSAN MEDICINE

Practice address

41900 Winchester Rd # 102
Temecula, CA 92590-3403

Phone

(310) 792-3914

Fax

(855) 898-4055

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Karmin Nissan, MD

Title

Founder

Phone

(310) 792-3914

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1417443979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41900 WINCHESTER RD # 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903403",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISSAN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "NISSAN",
        "authorized_official_first_name": "KARMIN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "310-792-3914",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Nieves
• Nifa, Inc.
• Muriel Kaye Nikkels, D.D.S
• Shadia Nin Marroquin
• Judy Nishi
• Jolie Nissan
• Hafsaah Nizami
• Amanda Noble, MS, OTR/L
• Jacob Nochez
• Christine Lynn Nolan, O.T.R.

• Anesthesiology Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.