Active NPI
Sujitra Tansuwan, NP
- Family Nurse Practitioner
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019664
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
590 Forest Ave
Palo Alto, CA 94301-2611
Phone (650) 288-4080
Hospital & facility affiliations
- Stanford Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95019664 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc | Current | Accepting new patients | |
| One Medical Group, Inc. | Current | Accepting new patients | |
| Instant Urgent Care | Current | 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
- 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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Urgent Care Clinic/Center
- San Jose, CA
- NPI 1922485085
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.