Active NPI
Suman Pinnamaneni Veeragandham, M.D.
- Obstetrics & Gynecology Physician
- Castro Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G88030
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091107872 | Other | IL | BCBS ILLINOIS |
| 000000215421 | Other | BLUE CROSS BLUE SHIELD |
Other names 1
- Suman Pinnamaneni
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 |
|---|---|---|---|
| G88030 | CA | MD | Obstetrics & Gynecology Physician |
| 01050753A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Obstetrics & Gynecology | Current | 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.
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
Obstetrics & Gynecology
-
- Case Manager/Care Coordinator
- Foster City, CA
- NPI 1689708042
-
dba San Leandro Hospital
- Rehabilitation Hospital Unit
- San Leandro, CA
- NPI 1679523633
-
dba St. Rose Hospital
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
dba Community Hospital
- Rehabilitation Hospital Unit
- Munster, IN
- NPI 1033225172
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.