Individual provider Active NPI

Gity Meshkat Razavi, MD,

  • Internal Medicine Physician
  • Menlo Park, CA
National Provider Identifier
1306473657
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A187592 Issued in CA
Practice address
885 Oak Grove Ave Ste 101
Menlo Park, CA 94025-4400
Phone
(650) 566-1936
Fax
(301) 618-2968
NPI assigned
Mar 26, 2020
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A187592 CA Primary

Addresses

Primary practice location

885 Oak Grove Ave Ste 101
Menlo Park, CA 94025-4400

Mailing address

885 Oak Grove Ave Ste 101
Menlo Park, CA 94025-4400
Phone (650) 566-1936

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

State licenses

LicenseStateTypeSpecialty
A187592CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1306473657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 OAK GROVE AVE STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254400",
            "telephone_number": "650-566-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 OAK GROVE AVE STE 101",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254400",
            "telephone_number": "650-566-1936",
            "fax_number": "301-618-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHKAT RAZAVI",
        "first_name": "GITY",
        "credential": "MD,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A187592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.