Individual provider Active NPI

Lou Nishimura, M.D.

  • Internal Medicine Physician
  • Carmichael, CA
National Provider Identifier
1831207315
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G46283 Issued in CA
Practice address
6500 Coyle Ave
Suite 1
Carmichael, CA 95608-0301
Phone
(916) 967-4030
Fax
(916) 967-4060
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G46283 CA Primary

Addresses

Primary practice location

6500 Coyle Ave
Suite 1
Carmichael, CA 95608-0301

Mailing address

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 255-8825

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090617000173 CA Practitioner - Internal Medicine 5597815373 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46283CAMDMarriage & Family Therapist
G46283CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Health Medical Group 2, Inc. Internal Medicine CurrentSince Sep 30, 2020 Accepting new patients

Locations

6500 Coyle Ave
Ste 1
Carmichael, CA 95608
Phone (916) 961-8580

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10147/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1831207315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 COYLE AVE",
            "address_2": "SUITE 1",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080301",
            "telephone_number": "916-967-4030",
            "fax_number": "916-967-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIMURA",
        "first_name": "LOU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.