Individual provider Active NPI

Archana Nishara Dhawan, M.D.

  • Nephrology Physician
  • San Jose, CA
National Provider Identifier
1649294273
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A83916 Issued in CA
Practice address
2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911
Phone
(408) 523-3698
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A83916 CA Primary

Addresses

Primary practice location

2440 Samaritan Dr Ste 1
San Jose, CA 95124-3911

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

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
I20150217000005 CA Practitioner - NephrologyPractitioner - Internal Medicine 1456436633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

2400 Samaritan Dr
San Jose, CA 95124-3910

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone (408) 559-2011

275 Di Salvo Ave
San Jose, CA 95128-1628
Phone (408) 297-0103

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

725 Ridder Park Dr
Suite 10
San Jose, CA 95131-2431
Phone (408) 392-0390

795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020

815 Pollard Rd
Los Gatos, CA 95032-1438
Phone (408) 378-6131

Hospital & facility affiliations

  • DaVita Cornerhouse Dialysis Center Dialysis facility, San Jose, CA, CCN 552608
  • DaVita Silicon Valley Home Training Dialysis facility, San Jose, CA, CCN 552712
  • DaVita Stevens Creek Dialysis Dialysis facility, San Jose, CA, CCN 552738
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Apr 16, 2019 Accepting new patients
County of Santa Clara Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 20, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 20, 2021 Accepting new patients
Skand Corporation Nephrology CurrentSince Jun 1, 2008 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
County of Santa Clara CurrentSince Apr 16, 2019 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
El Camino Hospital Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

2400 Samaritan Dr
Ste 203
San Jose, CA 95124
Phone (408) 369-5600

105 N Bascom Ave
Ste 202
San Jose, CA 95128
Phone (408) 356-7205

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

2440 Samaritan Dr
Ste 1
San Jose, CA 95124
Phone (408) 478-6750

105 N Bascom Ave
Ste 103
San Jose, CA 95128
Phone (408) 998-2890

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: adhawan220135@hisp.ehr.sutterhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1649294273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SAMARITAN DR STE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243911",
            "telephone_number": "408-523-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAWAN",
        "first_name": "ARCHANA",
        "middle_name": "NISHARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A83916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.