Active NPI
Meenakshi Samantaray, MD
- Child & Adolescent Psychiatry Physician
- Sunnyvale, CA
National Provider Identifier
1689798001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A41631
- Practice address
- 660 S Fairoaks Ave
Sunnyvale, CA 94086-7913 - Phone
- (408) 992-4800
- Fax
- (408) 992-4801
- NPI assigned
- Mar 19, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | A41631 | CA | Primary |
Addresses
Primary practice location
660 S Fairoaks Ave
Sunnyvale, CA 94086-7913
Mailing address
660 S Fairoaks Ave
Sunnyvale, CA 94086-7913
Phone (408) 992-4800
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41631 | CA | MD | Pharmacist |
| A41631 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206489600000",
"number": "1689798001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S FAIROAKS AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940867913",
"telephone_number": "408-992-4800",
"fax_number": "408-992-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 S FAIROAKS AVE",
"city": "SUNNYVALE",
"state": "CA",
"postal_code": "940867913",
"telephone_number": "408-992-4800",
"fax_number": "408-992-4801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANTARAY",
"first_name": "MEENAKSHI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2008-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A41631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunnyvale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.