Individual provider Active NPI

Nikki Nahal Fatapour, NP

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1669170387
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95024276 Issued in CA
Practice address
2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909
Phone
(408) 371-9010
Fax
(408) 371-2633
NPI assigned
Feb 21, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare Alliance (334 clinicians)

Practice addresses (Care Compare)

2410 Samaritan Dr
Suite 201
San Jose, CA 95124-3909
Phone (408) 371-9010

Hospital & facility affiliations

  • Harmony Home Health Home health agency · San Jose, CA · CCN 059517
  • Santa Clara Valley Medical Center Hospital · San Jose, CA · CCN 050038
  • Stanford Health Care Hospital · Stanford, CA · CCN 050441

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260128001563 CA Practitioner - Nurse Practitioner 4587008545 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024276CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Americans for Community Involvement of Santa Clara County, Inc Current
since Dec 25, 2025
Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc Current
since Dec 25, 2025
Accepting new patients
Bay Area Community Health Past Accepting new patients

Locations

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

Interoperability endpoints

  • Direct secure messaging: nfatapour627254@direct.ochin.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024276 CA
Nurse Practitioner 363L00000X 95024276 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909

Mailing address

2410 Samaritan Dr Ste 201
San Jose, CA 95124-3909
Phone (408) 371-9010

Other practice location 1

1066 S White Rd
San Jose, CA 95127-3812
Phone (408) 729-9700

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2026.

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1669170387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-2633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 SAMARITAN DR STE 201",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243909",
            "telephone_number": "408-371-9010",
            "fax_number": "408-371-2633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1066 S White Rd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951273812",
            "country_code": "US",
            "telephone_number": "408-729-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FATAPOUR",
        "first_name": "NIKKI",
        "middle_name": "NAHAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024276",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95024276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.