Active NPI
Manjul Patwardhan M D Prof Corp
- Family Medicine Physician
- Cupertino, CA
National Provider Identifier
1336168426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A69182
- Legal business name
- MANJUL PATWARDHAN M D PROF CORP
- Practice address
- 10353 Torre Ave
Ste a
Cupertino, CA 95014-3217 - Phone
- (408) 725-1777
- NPI assigned
- Jul 19, 2006
- Last updated
- Dec 24, 2025
- 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
- Manjul Patwardhan, MD
- Title
- Owner Physician
- Phone
- (408) 725-1777
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A69182 | CA | Primary |
Addresses
Primary practice location
10353 Torre Ave
Ste a
Cupertino, CA 95014-3217
Mailing address
20472 Glasgow Dr
Saratoga, CA 95070-4326
Phone (408) 219-3130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Cupertino, CA
- NPI 1659398360
-
- Family Medicine Physician
- Santa Clara, CA
- NPI 1639377872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766534400000",
"number": "1336168426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20472 GLASGOW DR",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704326",
"telephone_number": "408-219-3130",
"fax_number": "408-725-0777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10353 TORRE AVE",
"address_2": "STE A",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143217",
"telephone_number": "408-725-1777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANJUL PATWARDHAN M D PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2025-12-24",
"certification_date": "2025-12-24",
"status": "A",
"authorized_official_last_name": "PATWARDHAN",
"authorized_official_first_name": "MANJUL",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "408-725-1777",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A69182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2025; 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.