Organization Active NPI

Nissan Pilest, MD Inc

  • Specialist
  • Irvine, CA
National Provider Identifier
1851580625
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NISSAN PILEST, MD INC
Practice address
16100 Sand Canyon Ave Ste 190
Irvine, CA 92618-3723
Phone
(949) 727-3800
Fax
(949) 727-3888
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Ms. Danica Tran, M.B.A.
Title
Business Manager
Phone
(949) 727-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 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

IdentifierTypeStateIssuer
ZZZ58657ZOtherCABLUE SHIELD GROUP PIN

National Provider Directory

National Provider Directory

Locations

16100 Sand Canyon Ave
Ste 190
Irvine, CA 92618
Phone (949) 727-3800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1851580625",
    "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": {
        "organization_name": "NISSAN PILEST, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DANICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "949-727-3800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP PIN",
            "identifier": "ZZZ58657Z",
            "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 Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.