Active NPI
Amishi Khandelwal, PA
- Physician Assistant
- Mountain View, CA
National Provider Identifier
1679956072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 21986
- Practice address
- 1240 Dale Ave
Apt 20
Mountain View, CA 94040-3368 - Phone
- (773) 655-2410
- NPI assigned
- Jul 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 21986 | CA | Primary |
Addresses
Primary practice location
1240 Dale Ave
Apt 20
Mountain View, CA 94040-3368
Mailing address
1240 Dale Ave
Apt 20
Mountain View, CA 94040-3368
Phone (773) 655-2410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21986 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435795200000",
"number": "1679956072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 DALE AVE",
"address_2": "APT 20",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403368",
"telephone_number": "773-655-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 DALE AVE",
"address_2": "APT 20",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940403368",
"telephone_number": "773-655-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANDELWAL",
"first_name": "AMISHI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "21986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.