Active NPI
Nisha Baral, NP
- Family Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95012500
- Practice address
- 2504 Samaritan Dr
San Jose, CA 95124-4005 - Phone
- (650) 485-1827
- NPI assigned
- Apr 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95012500 | CA | Primary |
Addresses
Primary practice location
2504 Samaritan Dr
San Jose, CA 95124-4005
Mailing address
2504 Samaritan Dr Ste 20
San Jose, CA 95124-4005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95012500 | Other | CA | NURSE PRACTITIONER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2690 5TH St
Suite B
Alameda, CA 94501-6584
Phone (510) 439-9447
2920 Telegraph Ave
Suite 100
Berkeley, CA 94705-2031
Phone (510) 686-3621
411 Grand Ave
Oakland, CA 94610-5022
Phone (510) 844-4097
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95012500 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of California PC | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Past | Accepting new patients | |
| Carbon Health Medical Group of California PC | Past | Accepting new patients |
Locations
2690 5th St
Ste B
Alameda, CA 94501
Phone (510) 439-9447
7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501
1760 S Bascom Ave
Ste 140
Campbell, CA 95008
Phone (408) 214-9732
6971 El Camino Real
Ste 101
Carlsbad, CA 92009
Phone (760) 258-4971
4156 Manzanita Ave
Ste 100
Carmichael, CA 95608
Phone (916) 483-5400
11971 Central Ave
Ste B
Chino, CA 91710
Phone (909) 310-1488
3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883
Phone (951) 293-4722
303 Corte Madera Town Ctr
Corte Madera, CA 94925
Phone (415) 840-8615
14443 Culver Dr
#14443A
Irvine, CA 92604
Phone (949) 767-8173
806 New Los Angeles Ave
Moorpark, CA 93021
Phone (805) 334-8650
401 Grand Ave
#1112
Oakland, CA 94610
Phone (800) 756-4206
1390 Market St
Ste 109
San Francisco, CA 94102
Phone (415) 918-5766
46 Hillsdale Mall
San Mateo, CA 94403
Phone (650) 769-5612
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Berkeley, CA
- NPI 1417294232
-
- Urgent Care Clinic/Center
- Pasadena, CA
- NPI 1255957205
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1801416474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 SAMARITAN DR STE 20",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 SAMARITAN DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244005",
"telephone_number": "650-485-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAL",
"first_name": "NISHA",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-23",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95012500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER",
"identifier": "95012500",
"state": "CA"
}
],
"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 Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.