Healthcare Provider Details

I. General information

NPI: 1831002856
Provider Name (Legal Business Name): NEXRCM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

458 BOYNTON AVE
SAN JOSE CA
95117-1442
US

IV. Provider business mailing address

59 WASHINGTON ST
SANTA CLARA CA
95050-6138
US

V. Phone/Fax

Practice location:
  • Phone: 717-268-9133
  • Fax: 717-268-9133
Mailing address:
  • Phone: 717-268-9133
  • Fax: 717-268-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RISHAB CHAUDARY
Title or Position: OWNER
Credential:
Phone: 717-268-9133