Shoko Odani
Shoko Odani is a Nurse Practitioner in San Carlos, California. Qualified in 2020, 6 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 6
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
301 Industrial RdSan Carlos, CA 94070-2603
Phone: (650) 596-4240
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 760 Renz Ln, Gilroy, CA 95020-9584 — (408) 847-1739
Specialties & licences
| Obstetrics & Gynecology Nurse Practitioner (primary) | Taxonomy 363LX0001X · Licence NP95016920 (CA) |
|---|---|
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence 95016920 (CA) |
Record details
| NPI number | 1780268722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 6, 2021 |
| Last updated in NPPES | May 24, 2022 |
| Certification date | May 24, 2022 |
| Mailing address | 325 Distel Cir, Los Altos, CA 94022-1408 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Permanente Medical Group Inc — 10941 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |