NPIMap

Individual provider Active NPI

Sailaja Rani Bommakanti, M.D.

  • Internal Medicine Physician
  • Campbell, CA
National Provider Identifier
1194828285
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66780 Issued in CA
Practice address
50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251
Phone
(408) 357-1410
Fax
(408) 357-1421
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66780 CA Primary

Addresses

Primary practice location

50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251

Mailing address

50 E Hamilton Ave Ste 120
Campbell, CA 95008-0251
Phone (408) 357-1410

Other practice location 1

625 Lincoln Ave
San Jose, CA 95126-3705
Phone (408) 278-3003

Other identifiers 1

IdentifierTypeStateIssuer
00A667800MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000719 CA Practitioner - Internal Medicine 4082786975 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

50 E Hamilton Ave
Suite 120
Campbell, CA 95008-0251
Phone (408) 357-1410

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66780CAMDMarriage & Family Therapist
A66780CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Internal Medicine CurrentSince May 1, 2023 Accepting new patients
Stanford Health Care CurrentSince May 1, 2023 Accepting new patients
Verity Medical Foundation CurrentSince Apr 1, 2012 Accepting new patients
DCHS Medical Foundation Internal Medicine CurrentSince Apr 1, 2012 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Apr 11, 2016 Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

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

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

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

400 Race St
San Jose, CA 95126

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: sbommakanti38509@direct.stanfordhealthcare.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1194828285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-357-1410",
            "fax_number": "408-357-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-357-1410",
            "fax_number": "408-357-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263705",
            "country_code": "US",
            "telephone_number": "408-278-3003",
            "fax_number": "408-278-3396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMMAKANTI",
        "first_name": "SAILAJA",
        "middle_name": "RANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A667800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.