Individual provider Active NPI

Sapna Dalal, MD

  • Family Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1144380338
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A86718 Issued in CA
Practice address
100 Terminal Ave
Menlo Park, CA 94025-1246
Phone
(650) 321-0980
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A86718 CA Primary

Addresses

Primary practice location

100 Terminal Ave
Menlo Park, CA 94025-1246

Mailing address

100 Terminal Ave
Menlo Park, CA 94025-1246
Phone (650) 321-0980

Other identifiers 1

IdentifierTypeStateIssuer
00A867180MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000969 CA Practitioner - Family Practice 9234188152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, shared by 15 NPIs, 316 clinicians

Practice addresses (Care Compare)

2710 Middlefield Rd
Redwood City, CA 94063-3404
Phone (650) 573-2222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86718CAMDPharmacist
A86718CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Sep 27, 2004 Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Aug 1, 2017 Accepting new patients
County of San Mateo Current Accepting new patients
County of San Mateo CurrentSince Sep 27, 2004 Accepting new patients
County of San Mateo Past Accepting new patients
Hill Physicians Medical Group Past Accepting new patients

Locations

2710 Middlefield Rd
Redwood City, CA 94063
Phone (650) 364-6010

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

795 Willow Rd
Bldg 334
West Menlo Park, CA 94025
Phone (650) 599-3890

Interoperability endpoints

  • Direct secure messaging: sdalal19979@smch.direct-ci.com

Organizations & group practices 9

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 8

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144380338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TERMINAL AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251246",
            "telephone_number": "650-321-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TERMINAL AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251246",
            "telephone_number": "650-321-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "SAPNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A86718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A867180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.