Active NPI
Shanthala Padar, RPH., PHD
- Pharmacist
- San Leandro, CA
National Provider Identifier
1508146200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 63709
- Practice address
- 1900 Davis St
San Leandro, CA 94577-1209 - Phone
- (510) 562-6815
- NPI assigned
- Aug 25, 2011
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 63709 | CA | Primary |
Addresses
Primary practice location
1900 Davis St
San Leandro, CA 94577-1209
Mailing address
800 Saltillo PL
Fremont, CA 94536-7638
Phone (510) 494-9522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 63709 | Other | CA | BOARD OF PHARMACY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63709 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1508146200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SALTILLO PL",
"city": "FREMONT",
"state": "CA",
"postal_code": "945367638",
"telephone_number": "510-494-9522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DAVIS ST",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771209",
"telephone_number": "510-562-6815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADAR",
"first_name": "SHANTHALA",
"name_prefix": "Dr.",
"credential": "RPH., PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "63709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "63709",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.