Organization Active NPI

Pravdin Medical Corporation

  • Obstetrics & Gynecology Physician
  • Redwood City, CA
National Provider Identifier
1457654394
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PRAVDIN MEDICAL CORPORATION
Practice address
570 Price Ave
Redwood City, CA 94063-1433
Phone
(650) 701-1882
Fax
(650) 701-1886
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Dr. Mary Pravdin, MD
Title
President
Phone
(650) 701-1882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

570 Price Ave
Redwood City, CA 94063-1433

Mailing address

570 Price Ave
Redwood City, CA 94063-1433
Phone (650) 327-1258

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1457654394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 PRICE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631433",
            "telephone_number": "650-327-1258",
            "fax_number": "855-200-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 PRICE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631433",
            "telephone_number": "650-701-1882",
            "fax_number": "650-701-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAVDIN MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "PRAVDIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-701-1882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "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 Nov 18, 2014; 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.