Active NPI
Hetalben Naginbhai Vellanki, FNP
- Family Nurse Practitioner
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95019987
- Practice address
- 39141 Civic Center Dr Ste 130
Fremont, CA 94538-5831 - Phone
- (510) 248-1680
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95019987 | CA | Primary |
Addresses
Primary practice location
39141 Civic Center Dr Ste 130
Fremont, CA 94538-5831
Mailing address
39300 Civic Center Dr Ste 370
Fremont, CA 94538-2397
Phone (510) 248-1000
Other names 1
- Hetal Vellanki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
39141 Civic Ctr Dr
Suite 130
Fremont, CA 94538-5831
Phone (510) 791-1005
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.74 of 100
- Quality
- 66.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95031220 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Brighter Beginnings | Current | Accepting new patients | |
| Brighter Beginnings | Current | Accepting new patients | |
| Washington Township Medical Foundation | Current | Accepting new patients | |
| Washington Township Medical Group | Past | Accepting new patients |
Locations
3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780
39141 Civic Center Dr
Ste 130
Fremont, CA 94538
Phone (510) 248-1680
39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800
39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000
2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681
Interoperability endpoints
- hvellanki151802@direct.whhs.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1346557014
-
- Federally Qualified Health Center (FQHC)
- Richmond, CA
- NPI 1942638978
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1629275839
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
-
- Family Medicine Physician
- Fremont, CA
- NPI 1174675417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fremont, CA
- NPI 1780614685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1477202208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39300 CIVIC CENTER DR STE 370",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382397",
"telephone_number": "510-248-1000",
"fax_number": "510-792-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39141 CIVIC CENTER DR STE 130",
"city": "FREMONT",
"state": "CA",
"postal_code": "945385831",
"telephone_number": "510-248-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLANKI",
"first_name": "HETALBEN",
"middle_name": "NAGINBHAI",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95019987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HETAL",
"last_name": "VELLANKI",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.