Active NPI
Nabeel Madanat M.D. Inc
- Clinic/Center
- Burlingame, CA
National Provider Identifier
1306295787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- A50176
- Legal business name
- NABEEL MADANAT M.D. INC
- Practice address
- 1828 El Camino Real Ste 701
Burlingame, CA 94010-3122 - Phone
- (650) 652-9022
- Fax
- (650) 652-9029
- NPI assigned
- Jun 7, 2016
- Last updated
- Jun 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nabeel Jameel Madanat, M.D.
- Title
- Owner
- Phone
- (650) 652-9022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | A50176 | CA | Primary |
| Medical Specialty Clinic/Center | 261QM2500X | A50176 | CA |
Addresses
Primary practice location
1828 El Camino Real Ste 701
Burlingame, CA 94010-3122
Mailing address
1828 El Camino Real Ste 701
Burlingame, CA 94010-3122
Phone (650) 652-9022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A501760 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Burlingame, CA
- NPI 1508884438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465257600000",
"number": "1306295787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 EL CAMINO REAL STE 701",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103122",
"telephone_number": "650-652-9022",
"fax_number": "650-652-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 EL CAMINO REAL STE 701",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940103122",
"telephone_number": "650-652-9022",
"fax_number": "650-652-9029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NABEEL MADANAT M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-07",
"last_updated": "2016-06-07",
"status": "A",
"authorized_official_last_name": "MADANAT",
"authorized_official_first_name": "NABEEL",
"authorized_official_middle_name": "JAMEEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-652-9022",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "A50176",
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "CA",
"license": "A50176",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A501760",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.