Organization Active NPI

Neda N. Pakdaman, MD Professional Corporation

  • Internal Medicine Physician
  • Redwood City, CA
National Provider Identifier
1346572849
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A76051 Issued in CA
Legal business name
NEDA N. PAKDAMAN, MD PROFESSIONAL CORPORATION
Practice address
274 Redwood Shores Pkwy
Ste 236
Redwood City, CA 94065-1173
Phone
(650) 704-3161
NPI assigned
Feb 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Neda Pakdaman, MD
Title
Executive Officer
Phone
(650) 704-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A76051 CA Primary

Addresses

Primary practice location

274 Redwood Shores Pkwy
Ste 236
Redwood City, CA 94065-1173

Mailing address

274 Redwood Shores Pkwy
Ste 236
Redwood City, CA 94065-1173

National Provider Directory

National Provider Directory

Locations

274 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (408) 475-5521

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1346572849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 REDWOOD SHORES PKWY",
            "address_2": "STE 236",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 REDWOOD SHORES PKWY",
            "address_2": "STE 236",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651173",
            "telephone_number": "650-704-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEDA N. PAKDAMAN, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "PAKDAMAN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "650-704-3161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A76051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.