Individual provider Active NPI

Suman Pinnamaneni Veeragandham, M.D.

  • Obstetrics & Gynecology Physician
  • Castro Valley, CA
National Provider Identifier
1194721738
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G88030 Issued in CA
Practice address
20126 Stanton Ave Ste 201
Castro Valley, CA 94546-5270
Phone
(510) 581-2559
Fax
(510) 581-5396
NPI assigned
Jun 27, 2005
Last updated
May 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 01050753A IN
Obstetrics & Gynecology Physician 207V00000X G88030 CA Primary

Addresses

Primary practice location

20126 Stanton Ave Ste 201
Castro Valley, CA 94546-5270

Mailing address

20126 Stanton Ave Ste 201
Castro Valley, CA 94546-5270
Phone (510) 581-2559

Other identifiers 2

IdentifierTypeStateIssuer
0091107872OtherILBCBS ILLINOIS
000000215421OtherBLUE CROSS BLUE SHIELD

Other names 1

  • Suman Pinnamaneni Other name

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
I20080121000100 CA Practitioner - Obstetrics/Gynecology 3971684580 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88030CAMDObstetrics & Gynecology Physician
01050753AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Oct 1, 2011 Accepting new patients
Munster Medical Research Foundation Inc Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

20126 Stanton Ave
Ste 201
Castro Valley, CA 94546
Phone (510) 581-2559

319 Diablo Rd
Ste 105
Danville, CA 94526
Phone (925) 314-0260

27212 Calaroga Ave
Hayward, CA 94545
Phone (510) 783-5532

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1194721738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 201",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-581-2559",
            "fax_number": "510-581-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20126 STANTON AVE STE 201",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465270",
            "telephone_number": "510-581-2559",
            "fax_number": "510-581-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEERAGANDHAM",
        "first_name": "SUMAN",
        "middle_name": "PINNAMANENI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-27",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01050753A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G88030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "0091107872",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000215421",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUMAN",
            "last_name": "PINNAMANENI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

Verify at the official NPI Registry.