Nisha S Patel DPM, Inc

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

License

E46570 Issued in CA

Legal business name

NISHA S PATEL DPM, INC

Practice address

1776 Ygnacio Valley Rd
102
Walnut Creek, CA 94598-3190

Phone

(925) 476-2468

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nisha S Patel, DPMNPI 1245246511

Title

Physician

Phone

(312) 953-3053

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nisha Patel, DPM

  • Foot & Ankle Surgery Podiatrist
  • Walnut Creek, CA
  • NPI 1245246511
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1568773133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 SPEAR ST",
            "address_2": "11B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941056190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YGNACIO VALLEY RD",
            "address_2": "102",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983190",
            "telephone_number": "925-476-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISHA S PATEL DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NISHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-953-3053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E46570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Nilsson
• Karl Joshua Nimtz
• Debra Nipp
• James E. Nirenstein, PH.D. M.F.T.
• David Nisenboym, DDS
• Andrea Nishimi, LMFT, LPCC
• Midori Jane Nishio, M.D.
• David H. Niver, MD
• Marina Niznik, PHD
• Savannah R Njuguna

• Podiatric Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Podiatric Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.