Active NPI
Mukund Jayant Prabakar, MD
- Psychiatry Physician
- San Mateo, CA
National Provider Identifier
1598415754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A190074
- Practice address
- 999 Baker Way Ste 150
San Mateo, CA 94404-1581 - Phone
- (855) 501-1004
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A190074 | CA | Primary |
Addresses
Primary practice location
999 Baker Way Ste 150
San Mateo, CA 94404-1581
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other practice location 1
1101 Van Ness Ave Ste 1100
San Francisco, CA 94109-6919
Phone (415) 600-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Drexel University College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3835 N Fwy Blvd
Suite 100
Sacramento, CA 95834-1954
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A190074 | CA | MD | Psychiatry Physician |
Interoperability endpoints
- mprabakar624737@hisp.ehr.sutterhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1598415754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 BAKER WAY STE 150",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944041581",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [
{
"address_1": "1101 Van Ness Ave Ste 1100",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941096919",
"country_code": "US",
"telephone_number": "415-600-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRABAKAR",
"first_name": "MUKUND",
"middle_name": "JAYANT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A190074",
"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 Apr 17, 2026; 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.