Padma Mahajan M.D., Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A36338 Issued in CA

Legal business name

PADMA MAHAJAN M.D., INC

Practice address

2242 Camden Ave Ste 203
San Jose, CA 95124-2029

Phone

(408) 356-7161

Fax

(408) 356-6676

NPI assigned

Aug 12, 2010

Last updated

Jul 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Padma Mahajan, M.D.NPI 1265547830

Title

M.D.

Phone

(408) 356-7161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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.

• Padma Mahajan, MD

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1265547830
  Medicare reassignment NPD Authorized official
• Evgeniya Chekler

  • Nurse Practitioner
  • San Jose, CA
  • NPI 1790589018
  NPD (past)
• Anjali Gulati, MD

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1124190954
  NPD (past)
• Ada Ann Koransky, M.D.

  • Cardiovascular Disease Physician
  • San Jose, CA
  • NPI 1134184641
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689465600000",
    "number": "1417262676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "408-356-7161",
            "fax_number": "408-356-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2242 CAMDEN AVE STE 203",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951242029",
            "telephone_number": "408-356-7161",
            "fax_number": "408-356-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADMA MAHAJAN M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2023-07-16",
        "certification_date": "2023-07-16",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "408-356-7161",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A36338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Padilla, PSY.D., LMFT
• Samantha Padilla
• Valerie Padilla
• Zayra Padilla
• Shannon Marie Padlog, CD(DONA), B.S.
• Padmashri Srinivasa MD PC
• Christine Francis Padua
• Narciso Thad Padua, M.D.
• Rosemarie Rayos del Sol Padua, M.D.
• Michelle Padula

• Primary Care Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2023; 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.