NPIMap

Organization Active NPI

Upward Health of California, PC

  • General Practice Physician
  • San Mateo, CA
National Provider Identifier
1407518780
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
UPWARD HEALTH OF CALIFORNIA, PC
Practice address
400 Concar Dr
San Mateo, CA 94402-2681
Phone
(888) 985-5455
NPI assigned
Oct 13, 2021
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Dr. Anubhav Kaul, MDNPI 1023457975
Title
Owner
Phone
(888) 985-5455

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)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

400 Concar Dr
San Mateo, CA 94402-2681

Mailing address

80 Arkay Dr Ste 230
Hauppauge, NY 11788-3705
Phone (888) 985-5455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230517002590 CA Part B Supplier - Clinic/Group Practice 0941693444 Receives reassigned benefits from 17 practitioners
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory

Locations

470 Noor Ave
#1057
South San Francisco, CA 94080

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1407518780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 ARKAY DR STE 230",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883705",
            "telephone_number": "888-985-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "888-985-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARD HEALTH OF CALIFORNIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "KAUL",
        "authorized_official_first_name": "ANUBHAV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-985-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.

Verify at the official NPI Registry.