Individual provider Active NPI

Minal J. Bhanushali, MD

  • Neurology Physician
  • Palo Alto, CA
National Provider Identifier
1265618995
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A113308 Issued in CA
Practice address
795 El Camino Real
Palo Alto, CA 94301-2302
Phone
(650) 853-2983
NPI assigned
Jan 11, 2008
Last updated
May 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X A113308 CA
Neurology Physician 2084N0400X A113308 CA Primary

Addresses

Primary practice location

795 El Camino Real
Palo Alto, CA 94301-2302

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (650) 853-2983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130111000264 CA Practitioner - Neurology 7911078126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

123 S San Mateo Dr
San Mateo, CA 94401-3804
Phone (650) 343-4200

2506 Samaritan CT
San Jose, CA 95124-4001
Phone (408) 739-6000

2577 Samaritan Dr
San Jose, CA 95124-4105

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4500

300 Hospital Dr
Vallejo, CA 94589-2574
Phone (707) 554-4444

301 Industrial Rd
San Carlos, CA 94070-2603
Phone (415) 600-1000

3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222

34 Mark W Springs Rd
Santa Rosa, CA 95403-1436

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (650) 845-7649

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
113308CAMDClinical Social Worker
A113308CAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Mar 2, 2015 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Mar 2, 2015 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
El Camino Hospital Past Accepting new patients
Memorail Hospital of Los Banos Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Swedish Health Services Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
City of Seward Past Accepting new patients
Providence Health & Services Oregon Past Accepting new patients
Providence Health & Services Mt Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

301 Industrial Rd
San Carlos, CA 94070
Phone (650) 596-4000

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: mbhanushali279009@hisp.ehr.sutterhealth.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1265618995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "650-853-2983"
        },
        {
            "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": "650-853-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANUSHALI",
        "first_name": "MINAL",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-11",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "A113308",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A113308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.