Individual provider Active NPI

Prabal Bickram Thapa

  • Specialist
  • San Jose, CA
National Provider Identifier
1699268516
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
1671 The Alameda Ste 306
San Jose, CA 95126-2222
Phone
(669) 455-0585
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1671 The Alameda Ste 306
San Jose, CA 95126-2222

Mailing address

561 Giuffrida Ave Apt C
San Jose, CA 95123-1534
Phone (408) 802-4554

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

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1699268516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 GIUFFRIDA AVE APT C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231534",
            "telephone_number": "408-802-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 THE ALAMEDA STE 306",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262222",
            "telephone_number": "669-455-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAPA",
        "first_name": "PRABAL",
        "middle_name": "BICKRAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.