MEDICARE: USHA R VYAS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95011477	CA

General Provider Information

NPI Number	:	1972074821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	USHA R VYAS NP

Provider Business Mailing Address
First Line	:	388 9TH ST STE 250
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94607-4294
Country	:	US
Telephone Number	:	510-271-0134
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 PARNASSUS AVE STE 501
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2202
Country	:	US
Telephone Number	:	415-502-8584
Fax Number	:	415-502-8584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	03/27/2026

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