NPIMap

Organization Active NPI

Seema Sangwan MD Inc a California Professional Corporation

  • Internal Medicine Physician
  • San Mateo, CA
National Provider Identifier
1306499280
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SEEMA SANGWAN MD INC A CALIFORNIA PROFESSIONAL CORPORATION
Practice address
101 S San Mateo Dr Ste 102
San Mateo, CA 94401-3840
Phone
(650) 435-8211
Fax
(844) 965-9436
NPI assigned
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Dr. Seema Sangwan, MDNPI 1952370900
Title
Owner
Phone
(650) 799-2957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 102
San Mateo, CA 94401-3840

Mailing address

11126 Linda Vista Dr
Cupertino, CA 95014-4770
Phone (650) 799-2957

Other practice location 1

877 W Fremont Ave Ste N1
Sunnyvale, CA 94087-2332
Phone (408) 900-8077

Other names 1

  • Self Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210414001316 CA Part B Supplier - Clinic/Group Practice 7315355245 Receives reassigned benefits from 6 practitioners
Practice locations: Mountain View, CA; San Mateo, CA

National Provider Directory

National Provider Directory

Locations

101 S San Mateo Dr
Ste 102
San Mateo, CA 94401
Phone (408) 900-8077

877 W Fremont Ave
Ste N1
Sunnyvale, CA 94087
Phone (408) 900-8077

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1306499280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11126 LINDA VISTA DR",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144770",
            "telephone_number": "650-799-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 102",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013840",
            "telephone_number": "650-435-8211",
            "fax_number": "844-965-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "877 W Fremont Ave Ste N1",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940872332",
            "country_code": "US",
            "telephone_number": "408-900-8077",
            "fax_number": "844-965-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEEMA SANGWAN MD INC A CALIFORNIA PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "SANGWAN",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-799-2957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Self",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.