Individual provider Active NPI

Lidya Alsanady

  • School Registered Nurse
  • Fremont, CA
National Provider Identifier
1679378103
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95128819 Issued in CA
Practice address
2601 Parkside Dr
Fremont, CA 94536-5246
Phone
(510) 793-7492
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95128819 CA Primary

Addresses

Primary practice location

2601 Parkside Dr
Fremont, CA 94536-5246

Mailing address

31373 Brae Burn Ave
Hayward, CA 94544-7625
Phone (510) 386-8435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95128819CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
City of Fremont CurrentSince Feb 23, 2025 Accepting new patients

Locations

2601 Parkside Dr
Fremont, CA 94536
Phone (510) 793-7492

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1679378103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31373 BRAE BURN AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447625",
            "telephone_number": "510-386-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 PARKSIDE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365246",
            "telephone_number": "510-793-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALSANADY",
        "first_name": "LIDYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95128819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.