NPIMap

Individual provider Active NPI

Prerana R Sangani, MD

  • Internal Medicine Physician
  • Woodside, CA
National Provider Identifier
1144216862
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68348 Issued in CA
Practice address
2979 Woodside Rd
Woodside, CA 94062-2443
Phone
(650) 851-4747
Fax
(650) 851-4343
NPI assigned
Sep 27, 2005
Last updated
Jul 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A68348 CA Primary

Addresses

Primary practice location

2979 Woodside Rd
Woodside, CA 94062-2443

Mailing address

2979 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 851-4747

Other identifiers 1

IdentifierTypeStateIssuer
00A683480MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003682 CA Practitioner - Internal Medicine 5092771006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Village DoctorGroup PAC ID 2163706854, 5 clinicians

Practice addresses (Care Compare)

2979 Woodside Rd
Woodside, CA 94062-2443
Phone (650) 331-0058

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68348CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo CurrentSince Sep 15, 2018 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2018 Accepting new patients
County of San Mateo CurrentSince Sep 15, 2018 Accepting new patients

Locations

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

Interoperability endpoints

  • Direct secure messaging: prerana.sangani@6298537164804.direct.elationemr.com
  • Direct secure messaging: prerana.sangani@699555603546116.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1144216862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 WOODSIDE RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622443",
            "telephone_number": "650-851-4747",
            "fax_number": "650-851-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 WOODSIDE RD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "940622443",
            "telephone_number": "650-851-4747",
            "fax_number": "650-851-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGANI",
        "first_name": "PRERANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A683480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, CA

Sources for this page

Verify at the official NPI Registry.