Organization Active NPI

George Triadafilopoulos MD Inc

  • Gastroenterology Physician
  • Mountain View, CA
National Provider Identifier
1063578714
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A45948 Issued in CA
Legal business name
GEORGE TRIADAFILOPOULOS MD INC
Practice address
2490 Hospital Dr
Ste. 211
Mountain View, CA 94040
Phone
(650) 988-7488
Fax
(650) 396-5566
NPI assigned
Dec 28, 2006
Last updated
Nov 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thano Triadafilopoulos
Title
Cfo and Business Manager
Phone
(650) 799-5850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A45948 CA Primary

Addresses

Primary practice location

2490 Hospital Dr
Ste. 211
Mountain View, CA 94040

Mailing address

5911 Desert Oak Way
Spring, TX 77379-5528
Phone (650) 799-5850

National Provider Directory

National Provider Directory

Locations

2485 Hospital Dr
Ste 240
Mountain View, CA 94040
Phone (415) 988-7488

2490 Hospital Dr
Ste 211
Mountain View, CA 94040
Phone (650) 988-7488

4701 Patrick Henry Dr
Bldg 24
Santa Clara, CA 95054

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1063578714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 DESERT OAK WAY",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773795528",
            "telephone_number": "650-799-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "STE. 211",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94040",
            "telephone_number": "650-988-7488",
            "fax_number": "650-396-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE TRIADAFILOPOULOS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "TRIADAFILOPOULOS",
        "authorized_official_first_name": "THANO",
        "authorized_official_title_or_position": "CFO AND BUSINESS MANAGER",
        "authorized_official_telephone_number": "650-799-5850"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A45948",
            "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 Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.