Bayside Medical and Nursing Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BAYSIDE MEDICAL AND NURSING INC

Practice address

1571 Brookvale Dr Apt 1
San Jose, CA 95129-4623

Phone

(650) 404-7682

NPI assigned

Apr 26, 2024

Organization subpart

No

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

Authorized official

Name

Kusum RegmiNPI 1538705611

Title

NP

Phone

(650) 404-7682

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Kusum Regmi, FNP

  • Family Nurse Practitioner
  • Campbell, CA
  • NPI 1538705611
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727568000000",
    "number": "1952157273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1571 BROOKVALE DR APT 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294623",
            "telephone_number": "650-404-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 BROOKVALE DR APT 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294623",
            "telephone_number": "650-404-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE MEDICAL AND NURSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-09-29",
        "certification_date": "2024-09-29",
        "status": "A",
        "authorized_official_last_name": "REGMI",
        "authorized_official_first_name": "KUSUM",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "650-404-7682"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayo Inc
• Baypharmacy II a Professional Corp
• Porscha Bayquen
• Tugba Bayrak
• Bayshore Behavioral Health, LLC
• Blake Michael Baza
• Itzel Bazaldua Orozco
• Stephany Guadalupe Bazan Inoue
• Leslie Bazan
• Kimberly Ann Bazar, MD

• Family Nurse Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.