Individual provider Active NPI

Vinita Dhir Tandon, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Mountain View, CA
National Provider Identifier
1124105481
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A79669 Issued in CA
Practice address
2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone
(650) 967-8841
Fax
(650) 967-8812
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A79669 CA Primary

Addresses

Primary practice location

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855

Mailing address

2204 Grant Rd
Suite 103
Mountain View, CA 94040-3855
Phone (650) 967-8841

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

LicenseStateTypeSpecialty
A79669CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Maele Medical PC Current Accepting new patients

Locations

100 Wilshire Blvd
Ste 700
Santa Monica, CA 90401
Phone (310) 419-8799

Organizations & group practices 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1124105481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GRANT RD",
            "address_2": "SUITE 103",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403855",
            "telephone_number": "650-967-8841",
            "fax_number": "650-967-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDON",
        "first_name": "VINITA",
        "middle_name": "DHIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A79669",
            "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 May 24, 2011; 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.