Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kanoo Priya

Individual provider Nurse Practitioner · NPI 1265151336

Kanoo Priya is a Nurse Practitioner in San Jose, California. Qualified in 2022, 4 years ago. Practices with Golden State Providers, a Medical Corporation, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone: (408) 559-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95024773 (CA)

Record details

NPI number1265151336
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2022
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Golden State Providers, A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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