Active NPI
Alexander Moldanado, M.D.
- Family Medicine Physician
- San Mateo, CA
National Provider Identifier
1184617136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G59635
- Practice address
- 50 S San Mateo Dr
Suite 230
San Mateo, CA 94401-3857 - Phone
- (650) 348-0454
- Fax
- (650) 348-7923
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G59635 | CA | Primary |
Addresses
Primary practice location
50 S San Mateo Dr
Suite 230
San Mateo, CA 94401-3857
Mailing address
40 Meadow Park Cir
Belmont, CA 94002-2947
Phone (650) 591-1387
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59635 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Family Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Palo Alto Medical Foundation | Past | Accepting new patients |
Locations
50 S San Mateo Dr
Ste 230
San Mateo, CA 94401
Phone (415) 348-0454
1 Baywood Ave
Ste 7
San Mateo, CA 94402
Phone (650) 375-8482
Interoperability endpoints
- amoldanado46025@hisp.ehr.sutterhealth.org
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- San Mateo, CA
- NPI 1982793196
Family Medicine
-
- Non-Pharmacy Dispensing Site
- Santa Cruz, CA
- NPI 1114182649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184617136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MEADOW PARK CIR",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022947",
"telephone_number": "650-591-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S SAN MATEO DR",
"address_2": "SUITE 230",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013857",
"telephone_number": "650-348-0454",
"fax_number": "650-348-7923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLDANADO",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G59635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.