NPIMap

Organization Active NPI

Arun Villivalam, MD., Inc.

  • General Practice Physician
  • Mountain View, CA
National Provider Identifier
1336419175
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ARUN VILLIVALAM, MD., INC.
Doing business as
Google Wellness Centers
Practice address
1950 Charleston Rd
Mountain View, CA 94043-1218
Phone
(650) 253-3313
NPI assigned
Jan 11, 2012
Organization subpart
Yes
Parent organization
CHS HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Stuart Clark
Title
Executive VP
Phone
(703) 760-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1950 Charleston Rd
Mountain View, CA 94043-1218

Mailing address

10701 Parkridge Blvd Ste 200
Reston, VA 20191-4359

Other names 1

  • Google Wellness Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ford Brewer MD Inc11 organizations share this tax ID, including this one
Part of
Google Wellness Center 321

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1336419175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 PARKRIDGE BLVD STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CHARLESTON RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940431218",
            "telephone_number": "650-253-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARUN VILLIVALAM, MD., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHS HEALTH SERVICES, INC.",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "703-760-0700"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Google Wellness Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.