Gurpreet K Padam MD PC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

GURPREET K PADAM MD PC

Practice address

101 S San Mateo Dr Ste 106
San Mateo, CA 94401-3840

Phone

(650) 360-9309

NPI assigned

May 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Gurpreet K Padam, MDNPI 1932125135

Title

Ceo

Phone

(650) 360-9309

Specialties & licenses 3

Addresses

Other names 2

• California Lifestyle Medicine Doing business as
• Home Based Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gurpreet K Padam, M.D.

  • Adult Medicine Physician
  • San Mateo, CA
  • NPI 1932125135

  Family Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1104674407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013840",
            "telephone_number": "650-360-9309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 106",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013840",
            "telephone_number": "650-360-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURPREET K PADAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "PADAM",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-360-9309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Lifestyle Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Based Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Based Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Guldmann
• Cassandra Gunn
• Qi Guo, L.AC.
• Bhushan Chander Gupta, M.D.
• Johanna Orma Gur
• Mia Aylin Gutierrez Fuentes
• Marcos Adrian Gutierrez Soltero
• Aubra Gutierrez
• Gloria Gutierrez
• Gloria E Gutierrez

• Hospice and Palliative Medicine (Family Medicine) Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.