Individual provider Active NPI

Colleen Panina, M.D.

  • Pediatrics Physician
  • Palo Alto, CA
National Provider Identifier
1679594303
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A77846 Issued in CA
Practice address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone
(650) 723-4000
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A77846 CA Primary

Addresses

Primary practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 723-4000

Other practice location 1

2340 Clay St
3Rd Floor
San Francisco, CA 94115-1932
Phone (415) 600-3477

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
I20140721002520 CA Practitioner - Pediatric Medicine 1759507197 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77846CAMDMental Health Counselor
A77846CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Pediatrics CurrentSince Jun 24, 2021 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Jun 24, 2021 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 24, 2021 Accepting new patients
University of California San Francisco CurrentSince Jun 24, 2021 Accepting new patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince May 6, 2014 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 24, 2021 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3000 Colby St
Ste 301
Berkeley, CA 94705
Phone (510) 540-6800

5220 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3129

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

3838 California St
Rm 510
San Francisco, CA 94118
Phone (415) 600-2403

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1600 Divisadero St
#302
San Francisco, CA 94143
Phone (415) 885-7246

2330 Post St
Ste 320
San Francisco, CA 94115
Phone (415) 353-2364

3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3490 California St
Ste 200
San Francisco, CA 94118
Phone (415) 345-0940

3838 California St
Rm 404
San Francisco, CA 94118
Phone (415) 600-0940

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2970 Hilltop Mall Rd
Ste 305
San Pablo, CA 94806
Phone (510) 222-5437

Interoperability endpoints

  • Direct secure messaging: cpanina105894@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1679594303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WELCH RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041601",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 Clay St",
            "address_2": "3RD FLOOR",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941151932",
            "country_code": "US",
            "telephone_number": "415-600-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANINA",
        "first_name": "COLLEEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.