# ROBERT S NISHIME MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Japan Town Medical Group Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689623498
- **Authorized official:** DR. ROBERT S NISHIME MD (OWNER)
- **Authorized official phone:** (408) 293-5864

## Contact information

- **Practice address:** 280 JACKSON ST, SAN JOSE, CA 95112-3256
- **Practice address phone:** (408) 293-5864
- **Mailing address:** 280 JACKSON ST, SAN JOSE, CA 95112-3256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | FNP 34587 | CA | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 08/22/2020