NIKITA ANDERSON PROSTHESIS SPECIALIS
NPI 1205491396
Specialist - Prosthetics Case Management in Hayward, CA

Active since May 05, 2019
1122 B ST STE 101, HAYWARD, CA 94541(510) 253-7214 Get Directions Write a Review

NPPES record last updated: May 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nikita Anderson Prosthesis Specialis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKITA ANDERSON PROSTHESIS SPECIALIS (NPI 1205491396) is an individual prosthetics case management provider in Hayward, California, licensed in California (KK524526) and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1205491396
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameNIKITA ANDERSONCredential: PROSTHESIS SPECIALIS
Location Address1122 B ST STE 101Hayward, CA 94541-4237
Mailing Address1341 8th St Apt C111Oakland, CA 94607-3494 · (510) 253-7214
Sole ProprietorYes
Enumeration DateMay 5, 2019
NPI 1205491396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License Licensed in CA · KK524526
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

1122 B ST STE 101, Hayward, CA 94541

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist (Prosthetics Case Management)
1122 B ST STE 101
HAYWARD, CA 94541

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205491396, enumerated as an "individual" on May 05, 2019.

The provider is located at 1122 B ST STE 101 HAYWARD, CA 94541 and the phone number is (510) 253-7214.

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.