Individual provider Active NPI

Nimoli Malhotra

  • Physical Therapist
  • Union City, CA
National Provider Identifier
1861961492
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
295791 Issued in CA
Practice address
2805 Whipple Rd
Union City, CA 94587-1233
Phone
(510) 441-8906
Fax
(510) 441-8908
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 295791 CA Primary

Addresses

Primary practice location

2805 Whipple Rd
Union City, CA 94587-1233

Mailing address

744 Edgewater Blvd Apt 303
Foster City, CA 94404-2839
Phone (650) 784-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190111000189 CA Practitioner - Physical Therapist in Private Practice 4880930825 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snehshakti CorporationGroup PAC ID 8123481967, 3 clinicians

Practice addresses (Care Compare)

443 Grand Ave
South San Francisco, CA 94080-3635
Phone (650) 588-9668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
295791CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Samasta Services Inc Physical Therapist CurrentSince Nov 12, 2018 Accepting new patients
Snehshakti Corporation Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Kokila Patel, Inc Physical Therapist PastSince Jun 7, 2014 Accepting new patients

Locations

39210 State St
Ste 202
Fremont, CA 94538
Phone (510) 441-8906

443 Grand Ave
South San Francisco, CA 94080
Phone (650) 558-9668

2805 Whipple Rd
Union City, CA 94587
Phone (510) 441-8906

29400 Kohoutek Way
Ste 150
Union City, CA 94587
Phone (510) 441-8906

Organizations & group practices 4

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1861961492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 EDGEWATER BLVD APT 303",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042839",
            "telephone_number": "650-784-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 WHIPPLE RD",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871233",
            "telephone_number": "510-441-8906",
            "fax_number": "510-441-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALHOTRA",
        "first_name": "NIMOLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "295791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.