Individual provider Active NPI

Malini Dandu, M.D.

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1588828537
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A109876 Issued in CA
Practice address
650 5TH St Ste 405
San Francisco, CA 94107-1541
Phone
(888) 713-5540
NPI assigned
Jul 17, 2008
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39126 IA
Family Medicine Physician 207Q00000X A109876 CA Primary

Addresses

Primary practice location

650 5TH St Ste 405
San Francisco, CA 94107-1541

Mailing address

6141 Running Springs Rd
San Jose, CA 95135-2246
Phone (669) 282-7620

Other identifiers 1

IdentifierTypeStateIssuer
1588828537OtherIARAILROAD MEDICARE

Other names 1

  • Dr. Malini Dandu Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100105000388 CA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 5496896029

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

279 E Imperial Hwy
Suite 730
Fullerton, CA 92835-1041

751 S Bascom Ave
Dept of Medicine
San Jose, CA 95128-2604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1588828537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 RUNNING SPRINGS RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951352246",
            "telephone_number": "669-282-7620",
            "fax_number": "760-956-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 5TH ST STE 405",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941071541",
            "telephone_number": "888-713-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDU",
        "first_name": "MALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "39126",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A109876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1588828537",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALINI",
            "last_name": "DANDU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.