Active NPI
Vandana Mathur, M.D.
- Nephrology Physician
- Woodside, CA
National Provider Identifier
1699078915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- GFE73869
- Practice address
- 25 Upenuf Rd
Woodside, CA 94062-2633 - Phone
- (650) 529-0634
- NPI assigned
- Dec 8, 2010
- Last updated
- Dec 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | GFE73869 | CA | Primary |
Addresses
Primary practice location
25 Upenuf Rd
Woodside, CA 94062-2633
Mailing address
25 Upenuf Rd
Woodside, CA 94062-2633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73869 | CA | MD | Pharmacist |
| GFE73869 | CA | MD | Nephrology Physician |
Interoperability endpoints
- vandana.mathur.1@17632.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291766400000",
"number": "1699078915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 UPENUF RD",
"city": "WOODSIDE",
"state": "CA",
"postal_code": "940622633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 UPENUF RD",
"city": "WOODSIDE",
"state": "CA",
"postal_code": "940622633",
"telephone_number": "650-529-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "VANDANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-08",
"last_updated": "2010-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "GFE73869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.