Medical Associates Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

G83670 Issued in CA

Legal business name

MEDICAL ASSOCIATES LABORATORY

Practice address

770 Welch Rd Ste 380
Palo Alto, CA 94304-1523

Phone

(650) 324-0447

Fax

(650) 324-2557

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Pradip Kumar Rustagi, MDNPI 1881709699

Title

Medical Doctor

Phone

(650) 324-0447

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pradip K Rustagi, MD

  • Hematology & Oncology Physician
  • Bend, OR
  • NPI 1881709699
  NPD (past) Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629183454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WELCH RD STE 380",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041523",
            "telephone_number": "650-324-0447",
            "fax_number": "650-324-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WELCH RD STE 380",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041523",
            "telephone_number": "650-324-0447",
            "fax_number": "650-324-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSTAGI",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "650-324-0447",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "G83670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Ann Meaney, NP
• Peter Andrew Meaney, MD
• Robyn Lynne Medcalf, LCSW
• Jayden Medearis
• Michelle Medeiros, PH.D.
• Medical Plaza Pharmacy Inc
• Cynthia Medina, PH.D.
• Elida Medina, MS, CGC
• George Medina, MSW
• Johnna Leigh Medina, PHD

• Clinical Medical Laboratory in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.