Organization Active NPI

Ac Wellness on Demand Medical, PLLC

  • Corporate Health Clinic/Center
  • Cupertino, CA
National Provider Identifier
1205528478
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
AC WELLNESS ON DEMAND MEDICAL, PLLC
Practice address
20730 Valley Green Dr
Cupertino, CA 95014-1704
Phone
(408) 783-4000
NPI assigned
May 24, 2023
Last updated
May 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Authorized official

Name
Neda Pakdaman, MD
Title
President
Phone
(650) 704-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X NU Primary

Addresses

Primary practice location

20730 Valley Green Dr
Cupertino, CA 95014-1704

Mailing address

20730 Valley Green Dr
Cupertino, CA 95014-1704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1205528478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20730 VALLEY GREEN DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950141704",
            "telephone_number": "408-783-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC WELLNESS ON DEMAND MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "PAKDAMAN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-704-3161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.