Active NPI
Andrew Thamboo, M.D.
- Specialist
- Palo Alto, CA
National Provider Identifier
1205203866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 137955
- Practice address
- 801 Welch Rd
Palo Alto, CA 94304-1611 - Phone
- (650) 308-6376
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 137955 | CA | Primary |
Addresses
Primary practice location
801 Welch Rd
Palo Alto, CA 94304-1611
Mailing address
801 Welch Rd
Palo Alto, CA 94304-1611
Phone (650) 308-6376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137955 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1205203866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041611",
"telephone_number": "650-308-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041611",
"telephone_number": "650-308-6376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAMBOO",
"first_name": "ANDREW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "137955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.