Nivano Care Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C55196 Issued in CA

Legal business name

NIVANO CARE MEDICAL GROUP INC

Doing business as

Nivano Care

Practice address

729 Sunrise Ave Ste 601
Roseville, CA 95661-4542

Phone

(916) 783-7118

NPI assigned

Jul 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Venu Kondle

Title

Chairman/Ceo

Phone

(530) 300-3074

Specialties & licenses 4

Addresses

Other names 1

• Nivano Care Doing business as

Locations

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410480000000",
    "number": "1649686684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3229 CAMINITO AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959919705",
            "telephone_number": "530-300-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 601",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614542",
            "telephone_number": "916-783-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIVANO CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-09-12",
        "status": "A",
        "authorized_official_last_name": "KONDLE",
        "authorized_official_first_name": "VENU",
        "authorized_official_title_or_position": "CHAIRMAN/CEO",
        "authorized_official_telephone_number": "530-300-3074",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C55196",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102853",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A73939",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "C55196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nivano Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mylapore S Niranjankumar, MD
• Karen Y Nishimura, MD
• Lara Mae Nisperos
• Amy Delene Nistor, LMFT
• Lindsey Elise Nistor
• Francois Njomo, RN
• Esther Wangui Njuguna
• Beth A Noe, D.P.M.
• Michael J Noia
• Steven Carlton Nolan, M.A., CCC-A

• Internal Medicine Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.