Individual provider Active NPI

Nicholas Monaco

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1457404816
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A54966 Issued in CA
Practice address
105 N Bascom Ave Ste 202
San Jose, CA 95128-1811
Phone
(415) 745-5665
Fax
(408) 516-9377
NPI assigned
Jan 19, 2007
Last updated
Jul 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A54966 CA Primary
Nephrology Physician 207RN0300X T2006-186 AR

Addresses

Primary practice location

105 N Bascom Ave Ste 202
San Jose, CA 95128-1811

Mailing address

333 Santana Row Apt 237
San Jose, CA 95128-2008
Phone (415) 745-5665

Other identifiers 1

IdentifierTypeStateIssuer
164697001MedicaidAR

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120605000734 CA Practitioner - NephrologyPractitioner - Internal Medicine 7416051081 Reassigns benefits to 5 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

105 N Bascom Ave
Suite 202
San Jose, CA 95128-1811
Phone (408) 993-1500

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 866-4070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Health Medical Network, LLC CurrentSince Jun 18, 2020 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jul 1, 2016 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jul 1, 2016 Accepting new patients
County of San Mateo CurrentSince Feb 10, 2016 Accepting new patients
County of Santa Clara CurrentSince May 7, 2019 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
County of Santa Clara Current Accepting new patients
Skand Corporation Nephrology CurrentSince Sep 18, 2020 Accepting new patients
County of San Mateo CurrentSince Feb 10, 2016 Accepting new patients
County of Santa Clara CurrentSince May 7, 2019 Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients
Arkansas Nephrology Services, LTD. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
The Good Samaritan Hospital of Cincinnati, Ohio Past Accepting new patients
Cogent Healthcare of Daly City, P.C. Past Accepting new patients
El Camino Health Medical Group Past Accepting new patients
Seton Medical Center Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Multicare Health System Past Accepting new patients
Hot Springs National Park Hospital Holdings LLC Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1900 Sullivan Ave
#813
Daly City, CA 94015
Phone (650) 991-6380

9360 No Name Uno
Ste 125
Gilroy, CA 95020
Phone (408) 846-9444

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

105 N Bascom Ave
Ste 202
San Jose, CA 95128
Phone (408) 356-7205

2105 Forest Ave
Ste 202
San Jose, CA 95128

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nmonaco125866@santaclaravalley.direct-ci.net
  • Direct secure messaging: nmonaco72192@icare.elcaminohospital.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1457404816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SANTANA ROW APT 237",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282008",
            "telephone_number": "415-745-5665",
            "fax_number": "408-516-9377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N BASCOM AVE STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281811",
            "telephone_number": "415-745-5665",
            "fax_number": "408-516-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2023-07-21",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A54966",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AR",
            "license": "T2006-186",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164697001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.