Randall L. Nishijima, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT16652 Issued in CA

Practice address

280 Jackson St
San Jose, CA 95112-3256

Phone

(408) 379-3021

Fax

(408) 271-5042

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Core Physical Therapy

  • Physical Therapist
  • Campbell, CA
  • NPI 1629182720
  NPD (past) Authorized official

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1902992464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123256",
            "telephone_number": "408-379-3021",
            "fax_number": "408-271-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 JACKSON ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123256",
            "telephone_number": "408-379-3021",
            "fax_number": "408-271-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIJIMA",
        "first_name": "RANDALL",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT16652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ninh Anh Dao DDS, Inc
• Hung V Ninh, M.D.
• Niraj Lal MD PC
• Nirmal Care Home
• Gina Nishihara
• Alyson Nishikawa
• Tritia Nishikawa
• Julie Keiko Nishikubo, LCSW
• Erna O. Nishime, MD
• Joy Nishime, MD

• Physical Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; 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.