Rated 5.6
Strongly recommend: 31%Neutral: 31%Don't recommend: 37%5.6
31% strongly recommend
3 reviews
Humanity
6.8
6.8
Humanity

Ratings of 1 mean patients felt this doctor treated them as "a number."

Ratings of 10 mean patients felt this doctor treated them as "a human."

Communication
6.8
6.8
Communication

Ratings of 1 mean poor communication.

Ratings of 10 mean excellent communication.

Frequency Seen
9.4
9.4
Frequency Seen

Ratings of 1 mean patients only saw this doctor once or twice during treatment.

Ratings of 10 mean patients saw this doctor at every appointment.

Responsiveness
3.3
Poor
Responsiveness

Scale is "poor, ok, good, excellent" and measures how responsive a care team was when patients needed to speak to them.

Education

Medical School
Emory
Residency
Emory
Fellowship
UCLA

How Doctor Communicates

doctor available by email
not available by directline
not available by directline
not available by personal cell phone
not available by personal cell phone
Nikhil Joshi works at

Kaiser Permanente NorCal
Rated 7.3
Strongly recommend: 36%Neutral: 37%Don't recommend: 26%7.3

At 1 office

Sunnyvale
1263 East Arques Avenue
Sunnyvale, CA 94085
(408) 530-6800
Explore Clinic

3 patient reviews

Verified

This patient has provided documentation of treatment at this clinic.

2021, Unknown Success
0
0
Age 38
1 IUI
1 IVF
1 Egg Freezing
PCOS
Uterine Fibroids
Ashkenazi Jewish
Income $50K - $99K
Nurse or HC Services
1st of 3 Docs
Doesn't Recommend
Doesn't Recommend
Success w/ Doc Not sure
I did not feel supported [by Dr. Joshi] in the least, which is why I switched mid-cycle to another doctor...I had to remind him EVERY appointment - even when I was coming in every other day during the retrieval cycle - that I had PCOS, and did not have periods. He would see me for maybe 10min and say "everything looks good" and thats it...No explanation, no support, same line regardless of outcome. When I tried to share worries or ask questions, I told a nurse would call...
The clinic [Kaiser Permanente NorCal] in general is not very supportive...We needed to ask several times for instructions on how to administer shots, and she [nurse] seemed frustrated when we asked if she could email us the link to the online videos rather than have us search for them. She then seriously put our egg retrieval into jeopardy by writing out inaccurate instructions for our trigger medication...
How was your experience with Nikhil Joshi at Kaiser Permanente NorCal?
As mentioned he did not communicate information at all- by comparison, my first visit with my new doctor, I got 4 pages worth of preparation information for my cycle. I never knew what the blood tests were for or what they meant (except through my own research). I had to call multiple times to get information on how to give myself shots. Problems were rarely addressed, and his office gave printed wrong medical directions to me and blamed me for 'my body's failure to accept medication', instead of the fact I'd followed his (wrong) directions. He then wasn't even going to have us do the egg retrieval and just assumed the eggs were lost - had another doctor not intercepted, we would have lost the eggs that were very much still obtainable. He made no apologies for his botching of the cycle, and even alluded to us needing to pay for a whole new cycle - despite, again, this being him and his office's mistake.
What's one piece of advice would you give a prospective patient of Nikhil Joshi at Kaiser Permanente NorCal?
GO WITH SOMEONE ELSE. Seriously, he treats you like a number. He is always SIGNIFICANTLY late to appointments. He never apologies. He will not share any information with you. He will be very difficult to get ahold of. He does not treat you like a human and do not expect sympathy or understanding from him. There are better doctors out there.
During treatment, were you treated like a number or a human with Nikhil Joshi at Kaiser Permanente NorCal?
Dr.Joshi quite frankly was awful. Not only could he not keep an appointment to save his life (he averaged, at a minimum, being 45min-90min late) but aside of the first consultation, he shared very little information. Blood tests would be ordered but I'd never know why or what they meant. I had to remind him EVERY appointment - even when I was coming in every other day during the retrieval cycle - that I had PCOS, and did not have periods. He would see me for maybe 10min and say "everything looks good" and thats it, or worse, begin saying "oh we'll get 20 eggs" (next visit) "everything looks good we'll get 15 eggs" (next visit) "everything looks good we'll get 10 eggs" etc. No explanation, no support, same line regardless of outcome. When I tried to share worries or ask questions, I told a nurse would call. He would flat out say there were no side effects to procedures, and when I asked what they were just in case (I always get side effects) he pretty much acted like I was being ridiculous and wouldn't have them - even though I did. I did not feel supported in the least, which is why I switched mid-cycle to another doctor.
Describe the protocols Nikhil Joshi used in your cycles at Kaiser Permanente NorCal and their degree of success.
IVF - up to the egg retrieval. We were never given an option and told due to my age this was the route we needed to take (frozen embryo). We had a number of medications that were prescribed as a default. No rationale other than 'this is what you take' were given. He also didn't seem to understand his own procedure timelines, giving us a much shorter view of how things would go, including forgetting to include the time I'd need to recover from related surgeries that would delay implantation.
Describe your experience with your nurse at Kaiser Permanente NorCal. (Assigned nurse: ANALISA JUAREZ)
So, Analise was not very communicative or clear, with me or my partner often needing to call and clarify messages. We needed to ask several times for instructions on how to administer shots, and she seemed frustrated when we asked if she could email us the link to the online videos rather than have us search for them. She then seriously put our egg retrieval into jeopardy by writing out inaccurate instructions for our trigger medication, and when she called me, said "You havent taken the medication yet, have you? I know I said verbally you already should have but I see I wrote it down differently" - essentially admitting she knew she hadnt told me it correctly (otherwise why state it as already knowing I hadnt?) and did not apologize for the messup, instead blaming me for following the written directions she'd given me.
Describe your experience with Kaiser Permanente NorCal.
The clinic in general is not very supportive, and if at all possible, I'd recommend going with Fremont (or another provider than Kaiser). My first appointment I was nervous and ended up with 160/90 blood pressure - I love that the nurse said "is this normal for you?" even though she could have seen my chart showing no high blood pressure issues and a history of much lower blood pressure results. We also needed to frequently remind them of my PCOS status and had to double check about medications being sent over. I was told I needed to be at my appointment at a certain time, only to find the office wasn't even open until 25min later. Only plus side is partner is allowed in waiting room area.
Describe the costs associated with your care under Nikhil Joshi at Kaiser Permanente NorCal.
$21,000 before we could even get scheduled; $7,000 for medications. Optional genetic testing cost an additional $3500
Describe Nikhil Joshi's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
He said to do eSET..there was no reason given other than it was the best option for me
What specific things went wrong at Kaiser Permanente NorCal?
  • Failed to call in prescriptions to pharmacy
  • Failed to call with results
  • Provided conflicting information
  • Failed to convey critical information
  • Failed to consider drug intolerance
  • Canceled a cycle due to clinic error
0
Doctor
Nikhil Joshi
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
0
Clinic
Kaiser Permanente NorCal
Sunnyvale
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2020, Successful
8
10
Age 33
3 IUI
Anovulation
East Asian
Income $200K - $499K
Engineer
Only Doc Seen
Neutral
Strongly Recommends
Successful
After all tests and blood work, we had a video visit with him [Dr. Joshi] . We found him very knowledgeable, to the point, and knows what is covered in our insurance plan...He is extremely supportive of our decision and the forthcoming. During the call, he answered all our queries regarding IVF treatment, shared necessary details, and even update my health summary for the future doctor.
Kaiser NoCal. Strengths: - Good Doctors - Having everything (from bloodwork to any complicated tests) under a single roof. Weakness: - Hard to get an appointment with the doctor sometime. - If you are going for an IUI, you will not get any regular comunation from your doctor but from NP, who don't have much empathy. - There is no straight way to communicate with your doctor when you need
How was your experience with Nikhil Joshi at Kaiser Permanente NorCal?
I got in touch with Nikhil Joshi in early 2020 after trying for a baby for more than a year. After all tests and blood work, we had a video visit with him. We found him very knowledgeable, to the point, and knows what is covered in our insurance plan(which was very helpful in the beginning). As our all test results were okay (no red flag), he suggested 3 IUIs as a treatment plan as it was covered in our insurance, not IVF. Unfortunately, all three were failed. I took an emotional break in late 2020 and wanted to resume IUI again in January 2021 (another 3 cycles). Fortunately, my husband got a new job that gives IVF benefits through other insurance. In January 2021, I had my follow-up call with Dr. Joshi where I shared the upcoming changes in my health insurance plan. He is extremely supportive of our decision and the forthcoming. During the call, he answered all our queries regarding IVF treatment, shared necessary details, and even update my health summary for the future doctor. He even helps me to understand the SART website for fertility clinic selection. I couldn't expect anything else from him.
What's one piece of advice would you give a prospective patient of Nikhil Joshi at Kaiser Permanente NorCal?
It is hard to get an appointment with Nikhil Joshi so please have patience. Good luck!
During treatment, were you treated like a number or a human with Nikhil Joshi at Kaiser Permanente NorCal?
Dr. Joshi is very knowledgeable, kind, and systematic. During my appointment and visit, I never felt that he is in a hurry or not answering my concerns.
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
In Kaiser REI, NP is the people who work with IUI patient, not doctors. During my IUI treatments, not Nikhil Joshi but different NP attended me. Most of them were always in a hurry and not compassionate. I felt like a number in front of them.
Describe your experience with Kaiser Permanente NorCal.
Kaiser REI is your only choice for fertility treatment if your insurance provider is Kaiser NoCal. Strengths: - Good Doctors - Having everything (from bloodwork to any complicated tests) under a single roof. Weakness: - Hard to get an appointment with the doctor sometime. - If you are going for an IUI, you will not get any regular comunation from your doctor but from NP, who don't have much empathy. - There is no straight way to communicate with your doctor when you need
8
Doctor
Nikhil Joshi
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
10
Clinic
Kaiser Permanente NorCal
Sunnyvale
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources
Verified

This patient has provided documentation of treatment at this clinic.

2019 - 2020, Unknown Success
10
8
Age 37 - 38
6 IUI
Diminished Ovarian Reserve
Endometriosis
Poor Egg Quality
Uterine Fibroids
Latinx
Income $100K - $199K
Nurse or HC Services
2nd of 2 Docs
Strongly Recommends
Neutral
Success w/ Doc Too early to know
I had an initial consultation with him [Dr. Nikhil Joshi], and currently are waiting to start IVF. I had a surgery with him prior which was a hysteroscopy...For us he recommended a single embryo transfer. He stated that is is much safer, and we both agreed with him...He is very understanding and compassionate and honest!! He explains everything clear and well!!!...He is very warm and caring. He answers all my questions and responds to my emails promptly. He makes sure both my husband and I understand what is going on. I had a hysteroscopy performed with him and he did a wonderful job making sure I understand everything pre, intra, and post op. He doesn't confuse you will medical jardin and makes you feel comfortable to answer any type of question.
The REI clinic is great [at Kaiser Permanente]...However, we had to attempt 6 rounds of IUI's before having a consultation with an IVF doctor which I didn't like. Also, I didn't officially get diagnosed with endometriosis until I had my consultation with my IVF doctor which is disheartening, and I felt I should have been told this from the beginning. He also told me about my hysteroscopy procedure that I needed which I feel all this should have taken place prior to doing my 6 rounds of IUI. So, all this was a bit frustrating because it seems kind of backwards.
How was your experience with Nikhil Joshi at Kaiser Permanente NorCal?
He is very warm and caring. He answers all my questions and responds to my emails promptly. He makes sure both my husband and I understand what is going on. I had a hysteroscopy performed with him and he did a wonderful job making sure I understand everything pre, intra, and post op. He doesn't confuse you will medical jardin and makes you feel comfortable to answer any type of question.
What's one piece of advice would you give a prospective patient of Nikhil Joshi at Kaiser Permanente NorCal?
I would say to be patient because everything is a process, and he does give all sides as far as explanation and then he gives his recommendation.
During treatment, were you treated like a number or a human with Nikhil Joshi at Kaiser Permanente NorCal?
He is very understanding and compassionate and honest!! He explains everything clear and well!!!
Describe the protocols Nikhil Joshi used in your cycles at Kaiser Permanente NorCal and their degree of success.
I had an initial consultation with him, and currently are waiting to start IVF. I had a surgery with him prior which was a hysteroscopy. I was on birth control 3 months prior to that surgery and once that was completed I was able to get off it. As of now I am not taking any medications yet
Describe your experience with the nursing staff at Kaiser Permanente NorCal.
We haven't specifically been assigned a nurse yet due to the covid 19 shut downs. We were coincidentally cleared for IVF right when the shelter in place occurred.
Describe your experience with Kaiser Permanente NorCal.
The REI clinic is great they weren't any delays in care. However, we had to attempt 6 rounds of IUI's before having a consultation with an IVF doctor which I didn't like. Also, I didn't officially get diagnosed with endometriosis until I had my consultation with my IVF doctor which is disheartening, and I felt I should have been told this from the beginning. He also told me about my hysteroscopy procedure that I needed which I feel all this should have taken place prior to doing my 6 rounds of IUI. So, all this was a bit frustrating because it seems kind of backwards.
Describe the costs associated with your care under Nikhil Joshi at Kaiser Permanente NorCal.
We got an estimated cost based on Dr. Joshi's recommendations which estimate at $23K
Describe Nikhil Joshi's approach to eSET (elective single embryo transfer) vs. multiple embryo transfer at Kaiser Permanente NorCal.
For us he recommended a single embryo transfer. He stated that is is much safer, and we both agreed with him
What specific things went wrong at Kaiser Permanente NorCal?
  • Failed to call in prescriptions to pharmacy
  • Failed to order appropriate test
Describe the specific things that went wrong at Kaiser Permanente NorCal.
On one occasion the NP did not place my order to have any Hcg blood test done which I had to call and wait at the lab for them to put the order in (which didn't take long to do). Another time my prescription for birth control was not put in as well which I had to call and have them out in.
10
Doctor
Nikhil Joshi
Humanity
Communication
Frequency Seen
Trustworthiness
Compassion
Explained risks
Adaptability
8
Clinic
Kaiser Permanente NorCal
Sunnyvale
Operations
Scheduling
Billing Department
Nursing Staff
Clinic Atmosphere
Educational Resources