| Nisha Kantidev Patel-venketsamy, OT | |
|
4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 | |
| (925) 463-0470 | |
| (925) 463-0473 |
| Full Name | Nisha Kantidev Patel-venketsamy |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4626 Willow Rd, Pleasanton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376836155 | NPI | - | NPPES |
| OT2828 | Other | CA | MEDICAL LICENSE |
| P01003597 | Other | CA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2828 (California) | Primary |
| Provider Name | Permanente Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Kantidev Patel-venketsamy, OT 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 | Nisha Kantidev Patel-venketsamy, OT 4626 Willow Rd, Suite 200, Pleasanton, CA 94588-8517 Ph: (925) 463-0470 |
Jocelyn Ortico Dajon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Ray St, Pleasanton, CA 94566 Phone: 925-399-5796 Fax: 925-249-5121 | |
Dr. Hoi Ki Kan, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4637 Chabot Dr Ste 118, Pleasanton, CA 94588 Phone: 480-729-5700 | |
Barbara Mccarrick, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8265 Fondray Ct, Pleasanton, CA 94566 Phone: 925-484-2883 Fax: 925-484-0835 | |
Mr. Alex Schwarga, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Stoneridge Dr, Pleasanton, CA 94588 Phone: 925-201-4050 | |
Barbara R Fong, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4626 Willow Rd, Suite 200, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Alexis Tucker, OTR-L, CHT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4626 Willow Road, Pleasanton, CA 94588 Phone: 925-463-0470 Fax: 925-463-0473 | |
Jennifer Wittenauer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 311 Ray St, Pleasanton, CA 94566 Phone: 925-399-5796 |