Individual
DR. ROBERT S NISHIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 JACKSON ST, SAN JOSE, CA 95112-3256
(408) 293-5864
Mailing address
900 LAFAYETTE ST STE 105, SANTA CLARA, CA 95050-4966
(408) 293-7767
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A62708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A627080
—
CA
Enumeration date
05/09/2006
Last updated
07/26/2019
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