NPIMap

Organization Active NPI

VA Palo Alto Health Care System

  • Military Hospital
  • Palo Alto, CA
National Provider Identifier
1295800670
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military HospitalTaxonomy code 286500000X
License
PT32435 Issued in CA
Legal business name
VA PALO ALTO HEALTH CARE SYSTEM
Practice address
3801 Miranda Ave
BLDG 7, RM a-123B
Palo Alto, CA 94304-1207
Phone
(650) 493-5000
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy M Naku, DPT
Title
Physical Therapist
Phone
(650) 493-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X PT32435 CA Primary

Addresses

Primary practice location

3801 Miranda Ave
BLDG 7, RM a-123B
Palo Alto, CA 94304-1207

Mailing address

3801 Miranda Ave
BLDG 7, RM a-123B
Palo Alto, CA 94304-1207
Phone (650) 493-5000

National Provider Directory

National Provider Directory
Tax ID family
Palo Alto Vamc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

3801 Miranda Ave
Bldg 7
Palo Alto, CA 94304
Phone (408) 475-3640

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295800670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "BLDG 7, RM A-123B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "BLDG 7, RM A-123B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041207",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA PALO ALTO HEALTH CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAKU",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "650-493-5000",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "CA",
            "license": "PT32435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.