Active NPI
Nissan Pilest, M.D.
- Dermatology Physician
- Irvine, CA
National Provider Identifier
1851473862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A30988
- Practice address
- 16100 Sand Canyon Ave Ste 190
Irvine, CA 92618-3723 - Phone
- (949) 727-3800
- Fax
- (949) 727-3888
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A30988 | CA | Primary |
Addresses
Primary practice location
16100 Sand Canyon Ave Ste 190
Irvine, CA 92618-3723
Mailing address
16100 Sand Canyon Ave Ste 190
Irvine, CA 92618-3723
Phone (949) 727-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756071348 | Other | CA | RAILROAD MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30988 | CA | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1851473862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE STE 190",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183723",
"telephone_number": "949-727-3800",
"fax_number": "949-727-3888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE STE 190",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183723",
"telephone_number": "949-727-3800",
"fax_number": "949-727-3888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILEST",
"first_name": "NISSAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A30988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "756071348",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.