Active NPI
Deepa Srinivansan, DO
- Family Medicine Physician
- Palo Alto, CA
National Provider Identifier
1205522901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A23655
- Practice address
- 795 El Camino Real
Palo Alto, CA 94301-2302 - Phone
- (650) 853-3355
- NPI assigned
- Apr 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A23655 | CA | Primary |
Addresses
Primary practice location
795 El Camino Real
Palo Alto, CA 94301-2302
Mailing address
PO Box 276950
Sacramento, CA 95827-6950
Phone (650) 853-3355
Other practice location 1
1450 Treat Blvd Ste 320
Walnut Creek, CA 94597-2168
Phone (925) 296-9827
Other names 1
- Deepa Sridhar
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
Interoperability endpoints
- dsrinivasan163547@ehr.johnmuirhealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1205522901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 276950",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958276950",
"telephone_number": "650-853-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 EL CAMINO REAL",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012302",
"telephone_number": "650-853-3355"
}
],
"practiceLocations": [
{
"address_1": "1450 Treat Blvd Ste 320",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945972168",
"country_code": "US",
"telephone_number": "925-296-9827",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SRINIVANSAN",
"first_name": "DEEPA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A23655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEEPA",
"last_name": "SRIDHAR",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.