Individual provider Active NPI

Alexander Moldanado, M.D.

  • Family Medicine Physician
  • San Mateo, CA
National Provider Identifier
1184617136
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59635 Issued in CA
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

Updated by the provider on Jul 13, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000115 CA Practitioner - Family Practice 5294898011 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59635CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Family Medical Group, Inc. Family Medicine CurrentSince Jan 1, 1987 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.