Individual provider Active NPI

Asha Ramchandran, MD

  • Pediatrics Physician
  • Pleasanton, CA
National Provider Identifier
1194784678
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A63418 Issued in CA
Practice address
5720 Stoneridge Mall Rd
Suite 240
Pleasanton, CA 94588-2828
Phone
(925) 463-1234
Fax
(925) 463-9599
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A63418 CA Primary

Addresses

Primary practice location

5720 Stoneridge Mall Rd
Suite 240
Pleasanton, CA 94588-2828

Mailing address

11875 Dublin Blvd
Suite C 140
Dublin, CA 94568-2843
Phone (925) 587-2500

Other names 1

  • Asha Venkateswaran Former 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
I20121204000183 CA Practitioner - Pediatric Medicine 6608028329 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63418CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Oct 15, 2012 Accepting new patients
Bayside Medical Group, Inc Pediatrics Past Accepting new patients

Locations

1359 Park Ave
Alameda, CA 94501
Phone (510) 523-8162

2915 Telegraph Ave
Ste 101
Berkeley, CA 94705
Phone (510) 843-4544

1134 Murrieta Blvd
Livermore, CA 94550
Phone (925) 449-7795

3100 Telegraph Ave
Fl 2
Oakland, CA 94609
Phone (510) 452-5231

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2160 Appian Way
Ste 100
Pinole, CA 94564
Phone (510) 724-8300

5720 Stoneridge Mall Rd
Ste 240
Pleasanton, CA 94588
Phone (925) 463-1234

4598 S Tracy Blvd
Ste 110
Tracy, CA 95377
Phone (209) 835-8551

1776 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 933-4383

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1194784678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 DUBLIN BLVD",
            "address_2": "SUITE C 140",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682843",
            "telephone_number": "925-587-2500",
            "fax_number": "925-587-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 STONERIDGE MALL RD",
            "address_2": "SUITE 240",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882828",
            "telephone_number": "925-463-1234",
            "fax_number": "925-463-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMCHANDRAN",
        "first_name": "ASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A63418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHA",
            "last_name": "VENKATESWARAN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.