Active NPI
Shreyas Mallur, M.D.
- Hospitalist Physician
- Mountain View, CA
National Provider Identifier
1063519312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A72534
- Practice address
- 701 E El Camino Real
Mountain View, CA 94040-2833 - Phone
- (650) 934-7808
- NPI assigned
- Sep 20, 2006
- Last updated
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A72534 | CA | |
| Hospitalist Physician | 208M00000X | A72534 | CA | Primary |
Addresses
Primary practice location
701 E El Camino Real
Mountain View, CA 94040-2833
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A72534 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- smallur229473@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1063519312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E EL CAMINO REAL",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402833",
"telephone_number": "650-934-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLUR",
"first_name": "SHREYAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A72534",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A72534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.