John Wayne Van Natta, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G21505 Issued in CA

Practice address

1100 Sharon Park Dr Apt 20
Menlo Park, CA 94025-7083

Phone

(650) 926-9660

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1285728071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHARON PARK DR APT 20",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940257083",
            "telephone_number": "650-926-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SHARON PARK DR APT 20",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940257083",
            "telephone_number": "650-926-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NATTA",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G21505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G215050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Andrew Vail, PT
• Helen Valenstein, PHD
• Jason Valerio, MD
• Michael P Vallario, PSY.D.
• Gloria Lorraine Van Bree, PH.D.
• Joellen Lee Vanzander, MD
• Ashwini Vartak
• Margaret Anne Vartanian, M.D.
• Marina Vaserman, M.A.
• Janet O. Vassar, RN

• Psychiatry Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.