NPIMap

Organization Active NPI

Twin Health Medical Group California PC

  • General Practice Physician
  • Menlo Park, CA
National Provider Identifier
1417724931
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TWIN HEALTH MEDICAL GROUP CALIFORNIA PC
Practice address
4200 Bohannon Drive
Suite 280
Menlo Park, CA 94025
Phone
(408) 675-3255
NPI assigned
Dec 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Mrs. Lisa Madhukanta Shah, M.D.
Title
Evp & Chief Medical Officer
Phone
(312) 607-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4200 Bohannon Drive
Suite 280
Menlo Park, CA 94025

Mailing address

2525 E Charleston Rd
Suite 104
Mountain View, CA 94043
Phone (408) 675-3255

National Provider Directory

National Provider Directory

Locations

4200 Bohannon Dr
Ste 280
Menlo Park, CA 94025
Phone (408) 675-3255

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1417724931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E CHARLESTON RD",
            "address_2": "SUITE 104",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94043",
            "telephone_number": "408-675-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BOHANNON DRIVE",
            "address_2": "SUITE 280",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "408-675-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN HEALTH MEDICAL GROUP CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MADHUKANTA",
        "authorized_official_title_or_position": "EVP & CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "312-607-0776",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.