Organization Active NPI

Divya Railan MD Inc.

  • Dermatology Physician
  • Menlo Park, CA
National Provider Identifier
1235496746
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A88528 Issued in CA
Legal business name
DIVYA RAILAN MD INC.
Practice address
888 Oak Grove Ave
Ste 14
Menlo Park, CA 94025-4432
Phone
(650) 322-1100
Fax
(650) 322-1115
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Authorized official

Name
Dr. Divya Railan, MD
Title
Owner
Phone
(650) 322-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A88528 CA Primary

Addresses

Primary practice location

888 Oak Grove Ave
Ste 14
Menlo Park, CA 94025-4432

Mailing address

555 Bryant St
#597
Palo Alto, CA 94301-1704
Phone (650) 322-1100

National Provider Directory

National Provider Directory

Locations

888 Oak Grove Ave
Ste 14
Menlo Park, CA 94025
Phone (415) 325-3251

853 Middlefield Rd
Ste 2
Palo Alto, CA 94301
Phone (650) 322-1100

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490140800000",
    "number": "1235496746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BRYANT ST",
            "address_2": "#597",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011704",
            "telephone_number": "650-322-1100",
            "fax_number": "650-322-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OAK GROVE AVE",
            "address_2": "STE 14",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254432",
            "telephone_number": "650-322-1100",
            "fax_number": "650-322-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVYA RAILAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2017-03-22",
        "status": "A",
        "authorized_official_last_name": "RAILAN",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-322-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A88528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.