Individual provider Active NPI

Parvathi Nanjundiah, MD

  • Psychiatry Physician
  • Los Altos, CA
National Provider Identifier
1093833352
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A65120 Issued in CA
Practice address
4546 El Camino Real Ste B7
Los Altos, CA 94022-1069
Phone
(866) 362-4246
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-080249 OH
Psychiatry Physician 2084P0800X A65120 CA Primary

Addresses

Primary practice location

4546 El Camino Real Ste B7
Los Altos, CA 94022-1069

Mailing address

4546 El Camino Real Ste B7
Los Altos, CA 94022-1069
Phone (866) 362-4246

Other practice location 1

532 N Magnolia Ave Ste 675
Anaheim, CA 92801-4937
Phone (866) 362-4246

Other practice location 2

135 S State College Blvd Ste 200
Brea, CA 92821-5805
Phone (866) 362-4246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041217000401 OH Practitioner - Psychiatry 3072570308 Reassigns benefits to 2 organizations
I20220616000343 CA Practitioner - Psychiatry 3072570308 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Integrative Behavioral Health and Medicine IncGroup PAC ID 4385021393, 18 clinicians
Imbcs IncGroup PAC ID 6103395397, 5 clinicians
United Psychiatry, Inc.Group PAC ID 0547780439, 6 clinicians

Practice addresses (Care Compare)

4149 El Camino Way
Suite a
Palo Alto, CA 94306-4036
Phone (866) 362-4246

4546 El Camino Real
Suite B7
Los Altos, CA 94022-1069
Phone (650) 600-0107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A65120CAMDPsychiatry Physician
35-080249OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Jun 7, 2017 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Jan 9, 2012 Accepting new patients
The Metrohealth System Psychiatry CurrentSince Jun 7, 2017 Accepting new patients
Imbcs Inc Psychiatry CurrentSince Mar 4, 2026 Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. Psychiatry CurrentSince Jan 9, 2012 Accepting new patients
Integrative Behavioral Health & Medicine, Inc. Psychiatry CurrentSince Sep 15, 2022 Accepting new patients
United Psychiatry, Inc. Psychiatry CurrentSince Jan 1, 2025 Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
The Metrohealth System Past Accepting new patients
Renew Psychological Services Inc. Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
The Metrohealth System Past Accepting new patients

Locations

532 N Magnolia Ave
Anaheim, CA 92801
Phone (408) 475-4446

4546 El Camino Real
Ste B10740
Los Altos, CA 94022
Phone (866) 362-4246

4546 El Camino Real
Ste B7
Los Altos, CA 94022
Phone (650) 600-0107

4546 El Camino Real
Los Altos, CA 94022
Phone (650) 434-3264

1049 El Monte Ave
Ste C755
Mountain View, CA 94040
Phone (650) 600-0107

4149 El Camino Way
Ste A
Palo Alto, CA 94306

5432 Geary Blvd
San Francisco, CA 94121
Phone (415) 632-7361

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 504-3646

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1093833352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "866-362-4246",
            "fax_number": "650-260-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 EL CAMINO REAL STE B7",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221069",
            "telephone_number": "866-362-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 N Magnolia Ave Ste 675",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928014937",
            "country_code": "US",
            "telephone_number": "866-362-4246",
            "fax_number": "650-260-6030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 S State College Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Brea",
            "state": "CA",
            "postal_code": "928215805",
            "country_code": "US",
            "telephone_number": "866-362-4246",
            "fax_number": "650-260-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANJUNDIAH",
        "first_name": "PARVATHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-080249",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A65120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.