Robert S Nishime MD Inc

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

FNP 34587 Issued in CA

Legal business name

ROBERT S NISHIME MD INC

Practice address

280 Jackson St
San Jose, CA 95112-3256

Phone

(408) 293-5864

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert S Nishime, MDNPI 1225087984

Title

Owner

Phone

(408) 293-5864

Specialties & licenses 1

Addresses

Other names 1

• Japan Town Medical Group Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Robert S Nishime, MD

  • Sports Medicine (Family Medicine) Physician
  • San Jose, CA
  • NPI 1225087984
  Medicare reassignment Care Compare group Authorized official
• Midori Nishimura, M.D.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1861534711
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689623498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123256",
            "telephone_number": "408-293-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S NISHIME MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NISHIME",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-293-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "FNP 34587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Japan Town Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Robert J Masi MD Professional Corporation
• Robert L Mascarotti Esprit Healing Center
• Robert S. Yoneda DDS Inc.
• Roberto V Espejo Jr DDS Inc
• Nancy Marie Roberts-Knight, LMFT
• Demetria Dominique Roberts
• Janet Jensen Roberts, MFT

• Sports Medicine (Family Medicine) Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Sports Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.