Kelcey Nishihara

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58228 Issued in CA

Practice address

1375 Sutter St Ste 105
San Francisco, CA 94109-5465

Phone

(415) 379-9600

Fax

(415) 379-9823

NPI assigned

Oct 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• UCSF Health Medical Foundation

  • Pediatrics Physician
  • Emeryville, CA
  • NPI 1043628316
  Medicare reassignment

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1821631458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095465",
            "telephone_number": "415-379-9600",
            "fax_number": "415-379-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 SUTTER ST STE 105",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095465",
            "telephone_number": "415-379-9600",
            "fax_number": "415-379-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIHARA",
        "first_name": "KELCEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Nip, DDS
• Ho Yan Nip
• Danielle Niren
• Humera Nisar, MD
• Vladimir Nisenzoun, P.T.
• Jonah Nishihira, B.A
• David Tetsuo Nishimoto, PHYSICAL THERAPIST
• Amy Nishimura, MPH
• Koki Nishimura
• Stephen L. Nishimura, MD

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.

Verify at the official NPI Registry.