Individual provider Active NPI

Sujitra Tansuwan, NP

  • Family Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1306597307
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95019664 Issued in CA
Practice address
590 Forest Ave
Palo Alto, CA 94301-2611
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jan 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95019664 CA
Family Nurse Practitioner 363LF0000X 95019664 CA Primary

Addresses

Primary practice location

590 Forest Ave
Palo Alto, CA 94301-2611

Mailing address

444 San Antonio Rd Apt 5D
Palo Alto, CA 94306-4648
Phone (314) 629-2813

Other practice location 1

444 San Antonio Rd Apt 5D
Palo Alto, CA 94306-4648
Phone (314) 629-2813

Other names 1

  • Sujitra Puritat Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250409003652 CA Practitioner - Nurse Practitioner 2860938719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

590 Forest Ave
Palo Alto, CA 94301-2611
Phone (650) 288-4080

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95019664CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc CurrentSince Jan 27, 2025 Accepting new patients
One Medical Group, Inc. CurrentSince Jan 27, 2025 Accepting new patients
Instant Urgent Care CurrentSince May 12, 2024 Accepting new patients

Locations

590 Forest Ave
Palo Alto, CA 94301
Phone (650) 288-4080

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

5138 Monterey Hwy
Ste G
San Jose, CA 95111
Phone (408) 687-4806

3466 El Camino Real
Santa Clara, CA 95051
Phone (408) 554-1400

970 W El Camino Real
Ste 8
Sunnyvale, CA 94087
Phone (408) 212-7420

Interoperability endpoints

  • Direct secure messaging: sujitra.tansuwan.1@11381.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1306597307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SAN ANTONIO RD APT 5D",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064648",
            "telephone_number": "314-629-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 FOREST AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012611",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 San Antonio Rd Apt 5D",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943064648",
            "country_code": "US",
            "telephone_number": "314-629-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANSUWAN",
        "first_name": "SUJITRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95019664",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95019664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUJITRA",
            "last_name": "PURITAT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.