Active NPI
Priyanka Ghosh, M.D.
- Pain Medicine (Anesthesiology) Physician
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 169421A
- Practice address
- 1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372 - Phone
- (650) 306-9490
- NPI assigned
- Apr 4, 2015
- Last updated
- May 5, 2023
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 169421A | CA | Primary |
Addresses
Primary practice location
1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372
Mailing address
1900 Ofarrell St Ste 190
San Mateo, CA 94403-1372
Phone (650) 306-9490
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, San Francisco School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Ofarrell St
Suite 190
San Mateo, CA 94403-1372
Phone (650) 306-9490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169421A | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Petros, M.D., Inc. | Multi-Specialty | Current | Accepting new patients |
| James Petros, M.D., Inc. | Multi-Specialty | Current | Accepting new patients |
| Remedy Medical Group | Multi-Specialty | Current | Accepting new patients |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
14777 Los Gatos Blvd
Ste 202
Los Gatos, CA 95032
Phone (408) 784-7515
3300 Webster St
Ste 601
Oakland, CA 94609
Phone (510) 272-9610
1330 Tara Hills Dr
Ste E105
Pinole, CA 94564
Phone (650) 667-2322
490 Post St
Ste 900
San Francisco, CA 94102
Phone (415) 362-7177
490 Post St
Ste 901
San Francisco, CA 94102
Phone (415) 421-2256
1604 Blossom Hill Rd
Ste 10
San Jose, CA 95124
Phone 4085288833605
175 N Jackson Ave
Ste 109
San Jose, CA 95116
Phone (408) 445-8400
1900 Ofarrell St
Ste 190
San Mateo, CA 94403
Phone 6503069490 ext. 119
880 Las Gallinas Ave
Ste 6
San Rafael, CA 94903
Phone (415) 499-3399
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Interventional Pain Medicine Physician
- San Mateo, CA
- NPI 1952601353
Multi-Specialty
-
dba Allied Pain & Spine Institute
- Physical Medicine & Rehabilitation Physician
- Los Gatos, CA
- NPI 1336448299
Multi-Specialty
-
dba Allied Pain & Spine
- Physical Medicine & Rehabilitation Physician
- San Leandro, CA
- NPI 1710620554
Multi-Specialty
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1558756791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 OFARRELL ST STE 190",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031372",
"telephone_number": "650-306-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 OFARRELL ST STE 190",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031372",
"telephone_number": "650-306-9490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOSH",
"first_name": "PRIYANKA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-04",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "169421A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.