Individual provider Active NPI

Nisha Baral, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1801416474
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012500 Issued in CA
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

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
95012500OtherCANURSE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251103000412 CA Practitioner - Nurse Practitioner 0749779395 Reassigns benefits to 1 organization

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
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

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

LicenseStateTypeSpecialty
95012500CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Sep 29, 2025 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 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.

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

Verify at the official NPI Registry.