Anita M. Prakash, M.D., F.a.C.C., PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ANITA M. PRAKASH, M.D., F.A.C.C., PC

Doing business as

Anita M. Prakash, M.D., F.A.C.C., PC

Practice address

1750 El Camino Real Ste 11
Burlingame, CA 94010-3208

Phone

(650) 697-7643

Fax

(650) 697-7895

NPI assigned

Jun 30, 2023

Last updated

Jun 30, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ANITA M. PRAKASH, M.D., F.A.C.C., PCAs reported in NPPES

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

Authorized official

Name

Maria Elizabeth Grande

Title

Billing Manager

Phone

(650) 697-7643

Specialties & licenses 1

Addresses

Other names 1

• Anita M. Prakash, M.D., F.A.C.C., PC Doing business as

Part of

Anita M Prakash MD Facc PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Anita M. Prakash, M.D., F.a.C.C., PC

  • Cardiovascular Disease Physician
  • Los Altos, CA
  • NPI 1457725111
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita Prakash, M.D.

  • Cardiovascular Disease Physician
  • Los Altos, CA
  • NPI 1578578050
  NPD (past)

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1154008167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103208",
            "telephone_number": "650-697-7643",
            "fax_number": "650-697-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL STE 11",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103208",
            "telephone_number": "650-697-7643",
            "fax_number": "650-697-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA M. PRAKASH, M.D., F.A.C.C., PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANITA M. PRAKASH, M.D., F.A.C.C., PC",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "GRANDE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "650-697-7643"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anita M. Prakash, M.D., F.A.C.C., PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.