1013020999 NPI number — ANIKUL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013020999 NPI number — ANIKUL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANIKUL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013020999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
301 N JACKSON AVE STE 7A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95133-2344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-942-9000
Provider Business Mailing Address Fax Number:
408-251-1015

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
301 N JACKSON AVE
Provider Second Line Business Practice Location Address:
SUITE 7A
Provider Business Practice Location Address City Name:
SAN JOSE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95133-2344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-942-9000
Provider Business Practice Location Address Fax Number:
408-251-1015
Provider Enumeration Date:
08/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MISTRY
Authorized Official First Name:
NAKUL
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
408-623-6245

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  52821 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DME03358F . This is a "MEDI - CAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 52821 . This is a "HOME MEDICAL DEVICE (HMDR)" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: D08607243 . This is a "DMERC EDI SBMITTER ID #" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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