NPIMap

Organization Active NPI

Palo Alto Mind Body

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
National Provider Identifier
1639729932
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PALO ALTO MIND BODY
Practice address
206 California Ave
Palo Alto, CA 94306-1618
Phone
(650) 681-2900
Fax
(650) 681-2646
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Dr. M Rameen Ghorieshi, MD, MPHNPI 1720307051
Title
Physician
Phone
(650) 681-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

206 California Ave
Palo Alto, CA 94306-1618

Mailing address

PO Box 1011
Palo Alto, CA 94302-1011
Phone (650) 681-2900

National Provider Directory

National Provider Directory

Locations

1001 Elwell Ct
Palo Alto, CA 94303
Phone (650) 681-2900

550 Hamilton Ave
Ste 240
Palo Alto, CA 94301
Phone (650) 324-8988

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1639729932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1011",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943021011",
            "telephone_number": "650-681-2900",
            "fax_number": "650-681-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CALIFORNIA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061618",
            "telephone_number": "650-681-2900",
            "fax_number": "650-681-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO ALTO MIND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GHORIESHI",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "RAMEEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "650-681-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.