Active NPI
Vikas Duvvuri, M.D., PH.D.
- Psychiatry Physician
- San Mateo, CA
National Provider Identifier
1255470480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A99706
- Practice address
- 1941 Ofarrell St
Suite 106
San Mateo, CA 94403-1340 - Phone
- (650) 425-0552
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A99706 | CA | Primary |
Addresses
Primary practice location
1941 Ofarrell St
Suite 106
San Mateo, CA 94403-1340
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99706 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1255470480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "619-464-1165",
"fax_number": "619-567-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 OFARRELL ST",
"address_2": "SUITE 106",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031340",
"telephone_number": "650-425-0552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVVURI",
"first_name": "VIKAS",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A99706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.