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

Melvina Kuoshu

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457198699

Melvina Kuoshu is a Nurse Practitioner in San Jose, California. Graduated from Vanderbilt University School of Medicine in 2024, 2 years ago. Practices with North East Medical Services, a 143-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Trained at
Vanderbilt University School of Medicine
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

1870 Lundy Ave
San Jose, CA 95131-1826
Phone: (415) 391-9686
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95032230 (CA)

Record details

NPI number1457198699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address602 Brentridge Pl, Antioch, TN 37013-3764

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice North East Medical Services — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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