Active NPI
Malini Dandu, M.D.
- Family Medicine Physician
- San Francisco, CA
National Provider Identifier
1588828537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A109876
- 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, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588828537 | Other | IA | RAILROAD MEDICARE |
Other names 1
- Dr. Malini Dandu
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100105000388 | CA | Practitioner - Family Practice | 5496896029 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.