Nishita Rasik Patolia, DNP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95015188 Issued in CA

Practice address

1611 S Catalina Ave Ste L70
Redondo Beach, CA 90277-5296

Phone

(310) 316-1954

NPI assigned

Sep 2, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Spade Skin Care Medical Inc

  • Dermatology Physician
  • Redondo Beach, CA
  • NPI 1790225829
  NPD (past)

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1912511403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE L70",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775296",
            "telephone_number": "310-316-1954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S CATALINA AVE STE L70",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775296",
            "telephone_number": "310-316-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATOLIA",
        "first_name": "NISHITA",
        "middle_name": "RASIK",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-01-18",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95015188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anabella Pascucci, M.D.
• Ekta M Patel, RPH
• Natasha Patel
• Reena Patel, M.D.
• Seema Patel, P.T.
• Patsie L. Trowbridge Inc
• Victoria Patten
• Paul Knittel MD Inc (Dr Paul's Immediate Care)
• Whitney Paullin, M.D.
• PBD Inc (Pill Box Drug)

• Nurse Practitioner in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.