NIKKI NAHAL FATAPOUR NP
NPI 1669170387
Nurse Practitioner in San Jose, CA

Q: What is Nikki Fatapour's NPI number?

The NPI number for Nikki Fatapour is 1669170387. It was assigned to this individual provider in the NPPES registry on February 21, 2023.

Q: What is Nikki Fatapour's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nikki Fatapour was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 21, 2023PECOS EnrolledAccepts Medicare Assignment

2410 SAMARITAN DR STE 201, SAN JOSE, CA 95124(408) 371-9010(408) 371-2633 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 14, 2026, Nov 13, 2024, Feb 21, 2023 (3 updates tracked since 2023).

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About Nikki Nahal Fatapour Np NPPES

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

NIKKI NAHAL FATAPOUR NP (NPI 1669170387) is an individual nurse practitioner in San Jose, California, licensed in California (95024276) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Jose, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1669170387

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNIKKI NAHAL FATAPOURCredential: NP

Location Address2410 SAMARITAN DR STE 201San Jose, CA 95124-3909

Mailing Address2410 Samaritan Dr Ste 201San Jose, CA 95124-3909 · (408) 371-9010 · Fax (408) 371-2633

Phone(408) 371-9010

Fax(408) 371-2633

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 21, 2023

Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1669170387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · 95024276

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95024276 (CA)

2410 SAMARITAN DR STE 201, San Jose, CA 95124

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Secondary Practice Location 1

Location 11066 S White RdSan Jose, CA 95127-3812 · Phone (408) 729-9700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikki Nahal Fatapour Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587008545

PECOS Enrollment IDI20260128001563

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nikki Fatapour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Asian Americans For Community Involvement Of Santa Clara County, Inc

4.5 mi

Community/Behavioral Health

2400 MOORPARK AVE, SUITE 300
San Jose, CA 95128

Reassigned Medicare billing, California enrollment
63 clinicians in this Medicare group

NPI 1326052291 (408) 975-2730

University Healthcare Alliance

21 mi

Internal Medicine

7999 GATEWAY BLVD STE 200
Newark, CA 94560

Reassigned Medicare billing, California enrollment
435 clinicians in this Medicare group

NPI 1760531198 (888) 924-1036

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

SAMARITAN INTERNAL MEDICINE MEDICAL GROUP

Internal Medicine