Active NPI
Shobana Sampath Vankipuram, MD
- Family Medicine Physician
- Danville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A116787
- Practice address
- 907 San Ramon Valley Blvd
Ste 104
Danville, CA 94526-4036 - Phone
- (925) 837-1044
- Fax
- (925) 837-1055
- NPI assigned
- May 11, 2009
- Last updated
- Nov 22, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MT-193076 | PA | |
| Family Medicine Physician | 207Q00000X | A116787 | CA | Primary |
Addresses
Primary practice location
907 San Ramon Valley Blvd
Ste 104
Danville, CA 94526-4036
Mailing address
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597-2168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT-193076 | Other | PA | LICENSE |
Other names 1
- Dr. Shobana Arvind
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12677 Alcosta Blvd
San Ramon, CA 94583-4423
200 Porter Dr
Suite 300
San Ramon, CA 94583-1524
Phone (925) 838-6511
2400 Balfour Rd
Suite 120
Brentwood, CA 94513-4956
Phone (925) 308-8112
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116787 | CA | MD | Clinical Social Worker |
| A116787 | CA | MD | Family Medicine Physician |
| MT-193076 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
907 San Ramon Valley Blvd
Ste 104
Danville, CA 94526
Phone (925) 837-1044
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
Interoperability endpoints
- svankipuram47165@ehr.johnmuirhealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- Medicare Defined Swing Bed Hospital Unit
- Lakeport, CA
- NPI 1598098642
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba One Health Hospice & Home Health
- Home Health Agency
- Livermore, CA
- NPI 1730616624
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1144389941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479772800000",
"number": "1063646651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD",
"address_2": "STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "907 SAN RAMON VALLEY BLVD",
"address_2": "STE 104",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945264036",
"telephone_number": "925-837-1044",
"fax_number": "925-837-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANKIPURAM",
"first_name": "SHOBANA",
"middle_name": "SAMPATH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2016-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MT-193076",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A116787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MT-193076",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHOBANA",
"last_name": "ARVIND",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Danville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.