Individual provider Active NPI

Manjul C Patwardhan, MD

  • Family Medicine Physician
  • Cupertino, CA
National Provider Identifier
1659398360
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A69182 Issued in CA
Practice address
10353 Torre Ave
Ste a
Cupertino, CA 95014-3217
Phone
(408) 725-1777
Fax
(408) 725-0777
NPI assigned
Jul 17, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A69182 CA Primary

Addresses

Primary practice location

10353 Torre Ave
Ste a
Cupertino, CA 95014-3217

Mailing address

898 Persimmon Ave
Sunnyvale, CA 94087-1819
Phone (408) 219-3130

Other names 1

  • Manjul Mahashabde Former name

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
I20041028001125 CA Practitioner - Family Practice 2961464235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10353 Torre Ave
Suite a
Cupertino, CA 95014-3217
Phone (408) 725-1777

10353 Torre Ave a
Cupertino, CA 95014-3217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A69182CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Manjul Patwardhan M D Prof Corp Family Medicine CurrentSince Jul 1, 1999 Accepting new patients
El Camino Hospital Past Accepting new patients
Washington Township Hospital Development Corporation Past Accepting new patients

Locations

10353 Torre Ave
Ste A
Cupertino, CA 95014
Phone (408) 725-1777

Interoperability endpoints

  • Direct secure messaging: mpatwardhan7611@icare.elcaminohospital.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1659398360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 PERSIMMON AVE",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871819",
            "telephone_number": "408-219-3130",
            "fax_number": "408-725-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10353 TORRE AVE",
            "address_2": "STE A",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143217",
            "telephone_number": "408-725-1777",
            "fax_number": "408-725-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "MANJUL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A69182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJUL",
            "last_name": "MAHASHABDE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

Verify at the official NPI Registry.