Individual provider Active NPI

Nila Erica Hollis, NP

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1962656348
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003349 Issued in CA
Practice address
1691 The Alameda
San Jose, CA 95126-2203
Phone
(917) 902-2167
Fax
(925) 556-0485
NPI assigned
Nov 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP145828 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95003349 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN196128 GA
Family Nurse Practitioner 363LF0000X 95003349 CA Primary
Family Nurse Practitioner 363LF0000X RN196128 GA

Addresses

Primary practice location

1691 The Alameda
San Jose, CA 95126-2203

Mailing address

1691 The Alameda
San Jose, CA 95126-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001435 CA Practitioner - Nurse Practitioner 3274074406 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003349CAMDPsychiatric/Mental Health Nurse Practitioner
RN196128GAMDPsychiatric/Mental Health Nurse Practitioner
AP145828TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Newark PC CurrentSince Aug 26, 2024 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health Current Accepting new patients
Mark David Levine, MD Burlingame PC CurrentSince Aug 26, 2024 Accepting new patients

Locations

39899 Balentine Dr
Ste 210
Newark, CA 94560
Phone (510) 657-9700

5776 Stoneridge Mall Rd
Ste 300
Pleasanton, CA 94588
Phone (925) 397-0411

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

Organizations & group practices 3

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": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1962656348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 THE ALAMEDA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262203",
            "telephone_number": "917-902-2167",
            "fax_number": "925-556-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "NILA",
        "middle_name": "ERICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP145828",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003349",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN196128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003349",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN196128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.